Organization
SPARTANBURG CHRISTIAN DISCIPLESHIP CENTER'S REACH PROGRAM
Active
Parent organization
PROMISED LAND CDC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROMISED LAND CDC
Authorized official
TOMMY E. QUICK (EXECUTIVE DIRECTOR)
(864) 595-0515
Entity
Organization
Contact information
Practice address
150 KENSINGTON DR, SPARTANBURG, SC 29306-3983
(864) 595-0515
(864) 595-0516
Mailing address
PO BOX 170393, SPARTANBURG, SC 29301-0026
(864) 595-0515
(864) 595-0516
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
102779
SC
Other
Enumeration date
04/08/2008
Last updated
06/17/2008
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