| Self Regional Behavorial Health Unit | |
|
1325 Spring St Greenwood SC 29646-3860 | |
| (864) 725-4111 | |
| Not Available |
| Full Name | Self Regional Behavorial Health Unit |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1325 Spring St, Greenwood, South Carolina |
| Authorized Official Name and Position | Matthew T Logan (PRESIDENT AND CEO) |
| Authorized Official Contact | 8647254253 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Self Regional Behavorial Health Unit 1325 Spring St Greenwood SC 29646-3860 Ph: (864) 725-4111 | Self Regional Behavorial Health Unit 1325 Spring St Greenwood SC 29646-3860 Ph: (864) 725-4111 |
| NPI Number | 1639193402 |
|---|---|
| Provider Enumeration Date | 07/26/2006 |
| Last Update Date | 12/14/2021 |
| Certification Date | 12/14/2021 |
| Medicare PECOS PAC ID | 4082527742 |
|---|---|
| Medicare Enrollment ID | O20130718000619 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639193402 | NPI | - | NPPES |
| 417160 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 038 (South Carolina) | Primary |
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