Stroud Community Group
Community/Behavioral Health in Irmo, SC. Organization (NPI-2).
NPI number1417318312
StatusActive
Last updated in NPPESMar 19, 2016
Details
- NPI
- 1417318312
- Entity type
- Organization (NPI-2)
- Legal business name
- Stroud Community Group
- Organization subpart
- No
- Enumeration date
- Mar 19, 2016
- Last updated
- Mar 19, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
107 Jarrod CtIrmo, SC 29063-2137
Phone 347-962-0324
Mailing address
107 Jarrod CtIrmo, SC 29063-2137
Phone 347-962-0324
Authorized official
Jamal Lance Stroud
Director
3479620324
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