Organization
WOODLANDS TREATMENT CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUPERT JAMES MCCORMAC IV M.D. (OWNER)
(864) 288-7636
Entity
Organization
Contact information
Practice address
155 BROZZINI CT., SUITE E, GREENVILLE, SC 29615-5340
(864) 288-7636
(864) 288-7978
Mailing address
155 BROZZINI COURT, SUITE E, GREENVILLE, SC 29615-5340
(864) 288-7636
(864) 288-7978
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
SC-10025-M
SC
Other
Enumeration date
03/28/2007
Last updated
08/22/2020
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