Organization
RECOVERY CONCEPTS LLC
Active
Other names
RECOVERY CONCEPTS LLC
Organization subpart
No
Provider details
NPI number
Authorized official
GAJENDRA BAFNA RPH (OWNER)
(864) 631-7371
Entity
Organization
Contact information
Practice address
124 BOARDWALK DR STE A, RIDGELAND, SC 29936-7994
(843) 645-2770
(843) 645-2771
Mailing address
124 BOARDWALK DR STE A, RIDGELAND, SC 29936-7994
(843) 645-2770
(843) 645-2771
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2093069
PK
—
Enumeration date
08/18/2006
Last updated
04/03/2024
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