Organization
UPSTATE INSTITUTE OF YOUTH PROGRAMS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. THWANDA DAVIDSON ED.D. (EXECUTIVE DIRECTOR)
(864) 376-0691
Entity
Organization
Contact information
Practice address
119 ANDREW DR, SENECA, SC 29678-2908
(864) 376-0691
Mailing address
119 ANDREW DR, SENECA, SC 29678-2908
(864) 376-0691
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
SC
Other
Enumeration date
11/08/2007
Last updated
12/10/2007
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