Organization · Type 2 NPI

864pride

Mental Health Clinic/Center (Including Community Mental Health Center) · Greenville, SC

NPI number 1790481422 Active

Practice location

30 Pointe Cir
Greenville, SC 29615-3506

Call (864) 655-5193 Map

Fax (864) 655-5183

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1790481422

864pride's National Provider Identifier is 1790481422, issued on Feb 3, 2023. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Greenville, SC. The record was last updated on Feb 3, 2023.