Organization
RESURGENCE COUNSELING & WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH BALOGUN LISW-CP (CLINICAL THERAPIST)
(843) 618-7484
Entity
Organization
Contact information
Practice address
192 LONGSIGHT LN APT 208, ROCK HILL, SC 29730-7857
(843) 618-7484
Mailing address
1565 EBENEZER RD, ROCK HILL, SC 29732-3421
(843) 618-7484
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/26/2019
Last updated
01/11/2021
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