NPI 1699088070

Greenville County Disabilities and Special Needs Board

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Greenville, SC

Practice location

Address: 1700 Ridge Road, Greenville, SC 29607-4730
Phone: (864) 288-1907
Fax: (864) 297-4990
Mailing address: P.O. Box 17467, Greenville, SC 29606-8467

Authorised official

Name: John Cocciolone
Title: Executive Director
Phone: (864) 288-1907

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X Licence 42G128 (SC)

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in South Carolina →

Registry record

NPI: 1699088070
Entity type: Organization
NPI issued: 14 Jul 2010
Record last updated: 28 Dec 2015

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.