Givebac Incorporated

NPI 1063681591 - Substance Abuse Rehabilitation Facility - 324500000X

NPI Details
NPI 1063681591
Enumeration Date 02/28/2008
Last Updated 02/28/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name JEFFREY LYNN JEFFREY
Position TREATMENT DIRECTOR
Phone (843) 623-3077
Fax (843) 623-3077
Practice Location
1481 TED MELTON RD
CHESTERFIELD SC, 29709-6313, US
Phone (843) 623-3077
Fax (843) 623-3077
Business Location
1481 TED MELTON RD
PO BOX 347
CHESTERFIELD SC, 29709-6313, US
Phone (843) 623-3077
Fax (843) 623-3077
Toxanomy
Taxonomy Code 324500000X
License State South Carolina
License Number OTP-002
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According to our database, Givebac Incorporated NPI is 1063681591, taxonomy code is 324500000X and license number is OTP-002, license state is located at South Carolina. Givebac Incorporated physically located at 1481 Ted Melton Rd, Chesterfield SC, 29709-6313. NPI Number 1033115704 has the healthcare provider type.

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1063681591 NPI number is provided on an as is basis without warranty of any kind. 1063681591 is maintained by the National Plan & Provider Enumeration System. The contents of Givebac Incorporated are for informational purposes only.