| South Carolina Ctc, Llc | |
|
124 Boardwalk Dr Ste A Ridgeland SC 29936-7994 | |
| (760) 710-0968 | |
| Not Available |
| Full Name | South Carolina Ctc, Llc |
|---|---|
| Speciality | Clinic/center - Methadone |
| Location | 124 Boardwalk Dr Ste A, Ridgeland, South Carolina |
| Authorized Official Name and Position | Brian Phillip Farley (VP & SECRETARY) |
| Authorized Official Contact | 6157169335 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Carolina Ctc, Llc 6183 Paseo Del Norte Ste 200 Carlsbad CA 92011-1151 Ph: (760) 710-0968 | South Carolina Ctc, Llc 124 Boardwalk Dr Ste A Ridgeland SC 29936-7994 Ph: (760) 710-0968 |
| NPI Number | 1497592927 |
|---|---|
| Provider Enumeration Date | 07/11/2024 |
| Last Update Date | 07/11/2024 |
| Certification Date | 07/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497592927 | NPI | - | NPPES |
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