| Carolina Family Services Of Greenville Llc | |
|
17 Memorial Medical Drive Greenville SC 29605-4407 | |
| (864) 283-0637 | |
| (864) 283-0638 |
| Full Name | Carolina Family Services Of Greenville Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 17 Memorial Medical Drive, Greenville, South Carolina |
| Authorized Official Name and Position | Jennifer L Brooks (CEO) |
| Authorized Official Contact | 8642830637 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Family Services Of Greenville Llc 17 Memorial Medical Drive Greenville SC 29605-4407 Ph: (864) 283-0637 | Carolina Family Services Of Greenville Llc 17 Memorial Medical Drive Greenville SC 29605-4407 Ph: (864) 283-0637 |
| NPI Number | 1073761870 |
|---|---|
| Provider Enumeration Date | 09/04/2008 |
| Last Update Date | 11/16/2022 |
| Certification Date | 11/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073761870 | NPI | - | NPPES |
| GP4952 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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