Organization
SHORELINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE P SMREKAR (CLINICAL COUNSELOR 1)
(843) 252-2049
Entity
Organization
Contact information
Practice address
2404 WISE RD, CONWAY, SC 29526
(843) 488-1300
Mailing address
2404 WISE RD # 29526, CONWAY, SC 29526-5521
(843) 488-1300
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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