Organization
UPSTATE TREATMENT SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRENT TYLER BRADY RPH (OWNER)
(864) 616-5031
Entity
Organization
Contact information
Practice address
7092 HOWARD ST, UNIT E, SPARTANBURG, SC 29303
(864) 616-5031
(864) 407-4155
Mailing address
200 WELLING CIR, GREENVILLE, SC 29607
(864) 616-5031
(864) 407-4155
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
Other
Enumeration date
01/09/2024
Last updated
01/09/2024
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