Organization
GREENWOOD TREATMENT SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT TYLER BRADY RPH (OWNER/PROGRAM SPONSER)
(864) 616-5031
Entity
Organization
Contact information
Practice address
110 COURT AVE W, GREENWOOD, SC 29646-2749
(864) 407-4160
(864) 407-4155
Mailing address
200 WELLING CIR, GREENVILLE, SC 29607-3936
(864) 407-4160
(864) 407-4155
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
3336C0002X
Clinic Pharmacy
—
—
Other
Enumeration date
05/21/2018
Last updated
01/13/2022
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