Organization
UPSTATE BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH D OGLESBY CAC (DIRECTOR)
(864) 630-8989
Entity
Organization
Contact information
Practice address
10B SETTER LN, GREENVILLE, SC 29607-4200
(864) 630-8989
Mailing address
10 B SETTER LANE, GREENVILLE, SC 29607
(864) 630-8989
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
11110111
SC
251S00000X
Community/Behavioral Health Agency
1210026
SC
Other
Enumeration date
11/29/2012
Last updated
11/29/2012
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