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Organization

GILEAD BEHAVIORAL HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RUSTOVIANT WRIGHTEN (MANAGER)
(919) 264-2253
Entity
Organization

Contact information

Practice address
455 RAST ST, SUMTER, SC 29150-2579
(866) 412-4325
Mailing address
455 RAST ST, SUMTER, SC 29150-2579

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
01/15/2018
Last updated
01/15/2018
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