Organization
POSITIVE INFLUENCES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TIFFANY DOWELL (CEO)
(252) 916-9466
Entity
Organization
Contact information
Practice address
200 N BROOKS ST, KINGSTREE, SC 29556-3544
(252) 916-9466
Mailing address
PO BOX 1332, GREENVILLE, NC 27834-1332
(252) 916-9466
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8302473
—
NC
Enumeration date
05/19/2014
Last updated
01/18/2021
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