Organization
GREENWOOD-EDGEFIELD-MCCORMICK-ABBEVILLE COMMISSION ON ALCOHOL AND DRUG
Active
Organization
GREENWOOD-EDGEFIELD-MCCORMICK-ABBEVILLE COMMISSION ON ALCOHOL AND DRUG
Active
Other names
Cornerstone
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID DEWITT MATTHEWS MSA (EXECUTIVE DIRECTOR)
(864) 227-1001
Entity
Organization
Contact information
Practice address
1420 SPRING ST, GREENWOOD, SC 29646-4057
(864) 227-1001
(864) 227-3619
Mailing address
1420 SPRING ST, GREENWOOD, SC 29646-4057
(864) 227-1001
(864) 227-3619
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
OTP-029
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AD07GM
—
SC
Enumeration date
07/01/2006
Last updated
08/22/2020
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