Organization
THE OLIVE TREE WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARA JOSIAH-HOWZE MD (OWNER)
(803) 802-1301
Entity
Organization
Contact information
Practice address
111 CLEBOURNE ST, SUITE 110, FORT MILL, SC 29715-1758
(803) 802-1301
(803) 802-1303
Mailing address
111 CLEBOURNE ST, SUITE 110, FORT MILL, SC 29715-1758
(803) 802-1301
(803) 802-1303
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
31489
SC
Other
Enumeration date
05/22/2009
Last updated
05/22/2009
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