Stroud Community Group
NPI #1417318312 in Irmo, South Carolina
Provider Information
- NPI Number
- 1417318312
- Entity Type
- Organization
- Organization Name
- Stroud Community Group
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Mar 19, 2016
- Last Updated
- Mar 19, 2016
Practice Location
- Address
- 107 JARROD CT
- City
- Irmo
- State
- South Carolina
- ZIP Code
- 29063-2137
- Phone
- (347) 962-0324
Authorized Official
- Name
- MR. JAMAL LANCE STROUD
- Title
- DIRECTOR
- Phone
- (347) 962-0324
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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