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Bay Laurel Center, INC

Clinic/Center, Mental Health (Including Community Mental Health Center) in Greenville, SC. Organization (NPI-2).

NPI number1669693941
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1669693941
Entity type
Organization (NPI-2)
Legal business name
Bay Laurel Center, INC
Organization subpart
No
Enumeration date
May 2, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

110 Manly St
Greenville, SC 29601-3025

Phone 864-298-8026 · Fax 864-298-8032

Mailing address

110 Manly St
Greenville, SC 29601-3025

Phone 864-298-8026 · Fax 864-298-8032

Authorized official

Elaine Smith
President
8642988026

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