Organization
RECOVERY BEHAVIORAL HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BIANCO D HOLMON MSW (CO-OWNER/OPERATOR)
(910) 273-9956
Entity
Organization
Contact information
Practice address
416 WEST BLVD STE 4, CHESTERFIELD, SC 29709-1507
(910) 273-9956
Mailing address
PO BOX 542, HOPE MILLS, NC 28348-0542
(910) 273-9956
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP7002
—
SC
05
—
GP7267
—
SC
Enumeration date
04/25/2015
Last updated
05/11/2016
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