Organization
CAROLINA FAMILY ADULT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA MICHELLE RUIZ (DIRECTOR OF FINANCE)
(864) 357-2152
Entity
Organization
Contact information
Practice address
301 ANDERSON ST, GREENVILLE, SC 29601-4022
(864) 283-0637
Mailing address
17 MEMORIAL MEDICAL DR, GREENVILLE, SC 29605-4407
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/21/2018
Last updated
09/21/2018
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