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454 S. Anderson Rd Suite 122 Rock Hill SC 29730 | |
| (803) 329-9727 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 454 S. Anderson Rd, Rock Hill, South Carolina |
| Authorized Official Name and Position | Michael L Hill (ADMINISTRATOR) |
| Authorized Official Contact | 8033299727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
454 S. Anderson Rd Suite 122 Rock Hill SC 29730 Ph: (803) 329-9727 | 454 S. Anderson Rd Suite 122 Rock Hill SC 29730 Ph: (803) 329-9727 |
| NPI Number | 1205076940 |
|---|---|
| Provider Enumeration Date | 02/20/2009 |
| Last Update Date | 02/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205076940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 0868568 (South Carolina) | Primary |
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