Pavillon Greenville Outpatient Services

NPI #1780934976 in Greenville, South Carolina

Provider Information

NPI Number
1780934976
Entity Type
Organization
Organization Name
Pavillon Greenville Outpatient Services
Subpart
Yes (part of a larger organization)
Parent Organization
PAVILLON INTERNATIONAL
Primary Specialty
Clinic/Center - Rehabilitation, Substance Use Disorder
Enumeration Date
Sep 14, 2012
Last Updated
Mar 11, 2015

Practice Location

Address
101 PELHAM COMMONS BLVD
ZIP Code
29615-4974
Phone
(864) 241-6688

Authorized Official

Name
MS. NATALIE FRYAR, LPC, CACII
Title
PROGRAM MANAGER
Phone
(864) 241-6688

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rehabilitation, Substance Use DisorderRehabilitation, Substance Use Disorder

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