| Graceful Living Behavioral Support | |
|
3236 Landmark Dr North Charleston SC 29418-8488 | |
| (843) 576-5392 | |
| Not Available |
| Full Name | Graceful Living Behavioral Support |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3236 Landmark Dr, North Charleston, South Carolina |
| Authorized Official Name and Position | Modupe Sarumi (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8435765392 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Graceful Living Behavioral Support 3236 Landmark Dr North Charleston SC 29418-8488 Ph: () - | Graceful Living Behavioral Support 3236 Landmark Dr North Charleston SC 29418-8488 Ph: (843) 576-5392 |
| NPI Number | 1245779164 |
|---|---|
| Provider Enumeration Date | 02/13/2017 |
| Last Update Date | 02/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245779164 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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