Organization
YOUTH OPTIONS UNDER TEEN HEALTH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RUDENE BUDHOO (EXECUTIVE DIRECTOR)
(803) 635-2736
Entity
Organization
Contact information
Practice address
14 KENNEDY RD, WINNSBORO, SC 29180-5906
(803) 635-2736
(803) 633-8187
Mailing address
14 KENNEDY RD, P.O. BOX 645, WINNSBORO, SC 29180-5906
(803) 635-2736
(803) 633-8187
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
390200000X
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MC0046
—
SC
Enumeration date
03/22/2006
Last updated
07/13/2011
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