Organization
SELF REGIONAL HEALTHCARE
Active
Other names
SELF REGIONAL BEHAVORIAL HEALTH UNIT
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW T LOGAN MD (PRESIDENT AND CEO)
(864) 725-4253
Entity
Organization
Contact information
Practice address
1325 SPRING ST, GREENWOOD, SC 29646-3860
(864) 725-4111
Mailing address
1325 SPRING ST, GREENWOOD, SC 29646-3860
(864) 725-4111
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
038
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
417160
—
SC
Enumeration date
07/26/2006
Last updated
12/14/2021
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