Organization
CAROLINA FAMILY SERVICES OF GREENVILLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER L BROOKS PHD, LPC/S (CEO)
(864) 283-0637
Entity
Organization
Contact information
Practice address
17 MEMORIAL MEDICAL DRIVE, GREENVILLE, SC 29605-4407
(864) 283-0637
(864) 283-0638
Mailing address
17 MEMORIAL MEDICAL DRIVE, GREENVILLE, SC 29605-4407
(864) 283-0637
(864) 283-0638
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4952
—
SC
Enumeration date
09/04/2008
Last updated
11/16/2022
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