Organization · Type 2 NPI

Prisma Health-Upstate

Emotionally Disturbed Childrens' Residential Treatment Facility · Greenville, SC

NPI number 1295280063 Active

Practice location

701 Grove Rd
Greenville, SC 29605-4210

Call (864) 455-7000 Map

Mailing address

300 E Mcbee Ave Fl 4
Greenville, SC 29601-2842

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000XRTF-0031 (SC)

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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About NPI 1295280063

Prisma Health-Upstate's National Provider Identifier is 1295280063, issued on Aug 22, 2016. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Greenville, SC. The record was last updated on Feb 4, 2021.