Recovery Concepts of Carolina Upst LLC
NPI #1619032034 in Easley, South Carolina
Provider Information
- NPI Number
- 1619032034
- Entity Type
- Organization
- Organization Name
- Recovery Concepts of Carolina Upst LLC
- Primary Specialty
- Clinic/Center - Methadone
- Enumeration Date
- Dec 26, 2006
- Last Updated
- Apr 3, 2024
Practice Location
- Address
- 1653 E MAIN ST
- City
- Easley
- State
- South Carolina
- ZIP Code
- 29640-3791
- Phone
- (864) 306-8533
Authorized Official
- Name
- GAJENDRA BAFNA, RPH
- Title
- PIC
- Phone
- (864) 306-8533
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Methadone — Methadone |
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