Organization
WISE RESOURCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROLYN MASON 7048070781 (OWNER)
(704) 807-0781
Entity
Organization
Contact information
Practice address
375 BASKINS RD APT 32, ROCK HILL, SC 29730-7705
(704) 807-0781
Mailing address
375 BASKINS RD APT 32, ROCK HILL, SC 29730-7705
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/05/2017
Last updated
04/05/2017
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