Southside Res. Care
NPI #1699929612 in Pros, South Carolina
Provider Information
- NPI Number
- 1699929612
- Entity Type
- Organization
- Organization Name
- Southside Res. Care
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Nov 5, 2008
- Last Updated
- Nov 5, 2008
Practice Location
- Address
- 425 S. WHEELER AVE
- City
- Pros
- State
- South Carolina
- ZIP Code
- 29127
- Phone
- (803) 364-0022
Authorized Official
- Name
- ROY L. BOWERS SR.
- Title
- CEO
- Phone
- (803) 364-0022
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
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