Organization
GREENVILLE COUNTY DISABILITIES AND SPECIAL NEEDS BOARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN COCCIOLONE (EXECUTIVE DIRECTOR)
(864) 288-1907
Entity
Organization
Contact information
Practice address
1700 RIDGE ROAD, GREENVILLE, SC 29607-4730
(864) 288-1907
(864) 297-4990
Mailing address
P.O. BOX 17467, GREENVILLE, SC 29606-8467
(864) 288-1907
(864) 297-4990
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
42G128
SC
Other
Enumeration date
07/14/2010
Last updated
12/28/2015
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