Organization · Type 2 NPI

Upstate Affiliate Organization

Developmental Disabilities Clinic/Center · Spartanburg, SC

NPI number 1831639459 Active

Practice location

249 N Grove Medical Park Dr, #300
Spartanburg, SC 29303-4227

Fax (864) 598-0431

Mailing address

1 Independence Pt, Suite 212
Greenville, SC 29615-4545

Specialties and licenses

TaxonomyCodeLicense
Developmental Disabilities Clinic/Center Primary 261QD1600XHTL-0936 (SC)

Developmental Disabilities Clinic/Center: An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

4 other providers at this address

About NPI 1831639459

Upstate Affiliate Organization's National Provider Identifier is 1831639459, issued on Mar 1, 2017. The primary taxonomy on file is Developmental Disabilities Clinic/Center (261QD1600X), and the practice location is in Spartanburg, SC. The record was last updated on Mar 1, 2017.