Organization
GLENN SPRINGS ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL D. RANEY (CEO)
(864) 583-4367
Entity
Organization
Contact information
Practice address
195 BOYS HOME RD, GLENN SPRINGS, SC 29374-2011
(864) 583-4367
(864) 583-2774
Mailing address
195 BOYS HOME RD, PO BOX 99, PAULINE, SC 29374-2011
(864) 583-4367
(864) 583-2774
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
SR-0008022001-CCI
SC
Other
Enumeration date
11/21/2006
Last updated
11/06/2007
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