Organization
OUTWARD BOUND COMMUNITY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DERRICK MCDOW (MANAGER)
(336) 382-9618
Entity
Organization
Contact information
Practice address
2131 WOODRUFF RD STE 2100, GREENVILLE, SC 29607-5959
(336) 382-9618
Mailing address
2131 WOODRUFF RD STE 2100, GREENVILLE, SC 29607-5959
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
SC
Other
Enumeration date
07/08/2014
Last updated
07/08/2014
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