Organization
UNION DISABILITIES & SPECIAL NEEDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY LOUISE STACKHOUSE (EXECUTIVE DIRECTOR)
(864) 427-7700
Entity
Organization
Contact information
Practice address
226 S GADBERRY ST, UNION, SC 29379
(864) 427-7700
(864) 427-1777
Mailing address
PO BOX 903, 226 S GADBERRY ST, UNION, SC 29379
(864) 427-7700
(864) 427-1777
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
15140
SC
Other
Enumeration date
02/28/2007
Last updated
08/22/2020
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