PAVILLON GREENVILLE OUTPATIENT SERVICES NPI 1780934976

NPI Information

NPI: 1780934976
Provider Name: PAVILLON GREENVILLE OUTPATIENT SERVICES
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
101 PELHAM COMMONS BLVD
GREENVILLE, SC
ZIP 29615
Phone: (864) 241-6688
Get Directions

PAVILLON GREENVILLE OUTPATIENT SERVICES is a rehabilitation and substance use disorder clinic center in Greenville, SC. PAVILLON GREENVILLE OUTPATIENT SERVICES NPI is 1780934976. The provider is registered as an organization entity type.

The provider's business location address is:

101 PELHAM COMMONS BLVD
GREENVILLE, SC
ZIP 29615-974
Phone: (864) 241-6688
Fax: (864) 241-6682

The provider's authorized official is Natalie Fryar .
The authorized official title is Program Manager and has the following contact phone number (864) 241-6688.

The enumeration date for this NPI number is 9/14/2012 and was last updated on 3/11/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	OTP 0102	SOUTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1023345139	OTHER	SOUTH CAROLINA	NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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