Organization
GREENVILLEHEALTH SYSTEM
Active
Other names
GHS Marshall I Pickens - Childrens
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL C. RIORDAN (PRESIDENT / CEO)
(864) 797-7808
Entity
Organization
Contact information
Practice address
701 GROVE RD, GREENVILLE, SC 29605-5611
(864) 455-8988
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6307
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
RTF-007
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RTF007
—
SC
Enumeration date
06/05/2006
Last updated
09/30/2015
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