| Black Boys Of Distinction | |
|
150 Kensington Dr Spartanburg SC 29306-3983 | |
| (864) 595-0515 | |
| (864) 587-6409 |
| Full Name | Black Boys Of Distinction |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 150 Kensington Dr, Spartanburg, South Carolina |
| Authorized Official Name and Position | Tommy Quick (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8649787557 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Black Boys Of Distinction Po Box 170066 Spartanburg SC 29301-0021 Ph: (864) 595-0515 | Black Boys Of Distinction 150 Kensington Dr Spartanburg SC 29306-3983 Ph: (864) 595-0515 |
| NPI Number | 1558727784 |
|---|---|
| Provider Enumeration Date | 01/04/2016 |
| Last Update Date | 01/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558727784 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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