Organization
LIFE ALTERING BEHAVIORAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VALERIE FREEMAN (DIRECTOR)
(252) 717-5331
Entity
Organization
Contact information
Practice address
1206 W SUMTER ST, FLORENCE, SC 29501-2210
(252) 717-5331
Mailing address
1206 W SUMTER ST, FLORENCE, SC 29501-2210
(252) 717-5331
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/17/2010
Last updated
11/17/2010
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