NPI 1295280063

Prisma Health-Upstate

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Greenville, SC

Practice location

Address: 701 Grove Rd, Greenville, SC 29605-4210
Phone: (864) 455-7000
Mailing address: 300 E McBee Ave Fl 4, Greenville, SC 29601-2842

Authorised official

Name: Polly H. Miller
Title: Vp Payor Strategies & Alignment
Phone: (864) 522-2286

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence RTF-0031 (SC)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in South Carolina →

Registry record

NPI: 1295280063
Entity type: Organization
NPI issued: 22 Aug 2016
Record last updated: 4 Feb 2021

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.