NPI 1235554395

Owl's Club International

Organisation Substance Abuse Rehabilitation Facility Florence, SC

Practice location

Address: 2528 W Palmetto St, Florence, SC 29501-5926
Phone: (843) 669-6088
Fax: (843) 407-6775
Mailing address: PO Box 7607, Florence, SC 29502-7607

Authorised official

Name: Philip Shaw
Title: Treasurer
Phone: (843) 669-6088

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in South Carolina →

Registry record

NPI: 1235554395
Entity type: Organization
NPI issued: 26 Feb 2014
Record last updated: 26 Feb 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.