Organization
ITRUST WELLNESS GROUP THERAPEUTICS
Active
Parent organization
ITRUST WELLNESS GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
ITRUST WELLNESS GROUP
Authorized official
STEVEN KROZER (CEO)
(864) 520-2020
Entity
Organization
Contact information
Practice address
117 COMMONS WAY, GREENVILLE, SC 29611-3850
(864) 520-2020
(864) 640-4400
Mailing address
117 COMMONS WAY, GREENVILLE, SC 29611-3850
(864) 520-2020
(864) 640-4400
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP9535
—
SC
Enumeration date
11/27/2020
Last updated
11/27/2020
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