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331 E Main St Ste 212 Rock Hill SC 29730-5384 | |
| (803) 368-5007 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 331 E Main St Ste 212, Rock Hill, South Carolina |
| Authorized Official Name and Position | Sabrina A Mack (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7047563991 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
331 E Main St Ste 212 Rock Hill SC 29730-5384 Ph: (803) 368-5007 | 331 E Main St Ste 212 Rock Hill SC 29730-5384 Ph: (803) 368-5007 |
| NPI Number | 1487277695 |
|---|---|
| Provider Enumeration Date | 05/21/2020 |
| Last Update Date | 05/21/2020 |
| Certification Date | 05/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487277695 | NPI | - | NPPES |
| GP8959 | Medicaid | SC |
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