Organization
PUT-BACK, A NON-PROFIT ORGANIZATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HARRY EUGENE REESE SR. (EXECUTIVE DIRECTOR)
(803) 479-9238
Entity
Organization
Contact information
Practice address
8408 LITTLE JOHN DR, COLUMBIA, SC 29209-5600
(803) 783-1801
(803) 776-8029
Mailing address
8408 LITTLE JOHN DR, COLUMBIA, SC 29209-5600
(803) 783-1801
(803) 776-8029
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/09/2014
Last updated
01/10/2014
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