Organization
OWL'S CLUB INTERNATIONAL
Active
Other names
Owls Nest Recovery Community
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP SHAW (TREASURER)
(843) 669-6088
Entity
Organization
Contact information
Practice address
2528 W PALMETTO ST, FLORENCE, SC 29501-5926
(843) 669-6088
(843) 407-6775
Mailing address
PO BOX 7607, FLORENCE, SC 29502-7607
(843) 669-6088
(843) 407-6775
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
SC
Other
Enumeration date
02/26/2014
Last updated
02/26/2014
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