Organization
MVRUGEABA LLC
Active
Other names
SeaSTAR
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA V. RUGE BCABA (DIRECTOR OF THERAPUETIC SERVICES)
(843) 325-3504
Entity
Organization
Contact information
Practice address
1456 PINE ISLAND VIEW, MOUNT PLEASANT, SC 29464
(843) 325-3504
Mailing address
1456 PINE ISLAND VIEW, MOUNT PLEASANT, SC 29464
(843) 546-0412
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-09-5328
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EX6889
—
SC
05
—
EX8636
—
SC
Enumeration date
11/19/2009
Last updated
11/19/2009
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