Organization
NEW DIRECTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RALPH TAYLOR (DIRECTOR)
(704) 968-0345
Entity
Organization
Contact information
Practice address
3685 TRAVERTINE DR, LANCASTER, SC 29720-6934
(704) 968-0345
Mailing address
3685 TRAVERTINE DR, LANCASTER, SC 29720-6934
(704) 968-0345
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/21/2015
Last updated
12/21/2015
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