Whalio Doctors

NPI 1508017476

Avalonia Group Homes, INC.

Organisation Psychiatric Residential Treatment Facility Pickens, SC

Practice location

Address
404 Hampton Ave, Pickens, SC 29671-2608
Phone
(864) 897-8050
Fax
(864) 878-7276
Mailing address
PO Box 1214, Pickens, SC 29671-1214

Authorised official

Name
Marvin J. Short
Title
President
Phone
(864) 313-6967

Registered specialties

Psychiatric Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 323P00000X Licence RTF-0020 (SC)

Registry record

NPI
1508017476
Entity type
Organization
NPI issued
9 Oct 2008
Record last updated
9 Oct 2008

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.