Organization
GREENVILLE COUNTY COMMISSION ON ALCOHOL AND DRUG ABUSE
Active
Other names
The Phoenix Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBECCA MADDOX (DEPUTY DIRECTOR)
(864) 467-3742
Entity
Organization
Contact information
Practice address
1400 CLEVELAND ST, GREENVILLE, SC 29607-2410
(864) 467-3780
(864) 467-3779
Mailing address
1400 CLEVELAND ST, GREENVILLE, SC 29607-2410
(864) 467-3780
(864) 467-3779
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AD06GV
—
SC
Enumeration date
04/13/2016
Last updated
04/13/2016
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