Southland Sc Behavioral Health Services, LLC
Psychiatry & Neurology, Psychiatry in Aiken, SC. Organization (NPI-2).
NPI number1760102073
StatusActive
Last updated in NPPESAug 29, 2022
Details
- NPI
- 1760102073
- Entity type
- Organization (NPI-2)
- Legal business name
- Southland Sc Behavioral Health Services, LLC
- Organization subpart
- No
- Enumeration date
- Aug 29, 2022
- Certification date
- Aug 29, 2022
- Last updated
- Aug 29, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | Yes |
Practice location
655 Medical Park DrAiken, SC 29801-6415
Phone 229-236-0831
Mailing address
100 S Madison StThomasville, GA 31792-5473
Phone 229-236-0831
Authorized official
Stephanie Fletcher
Cfo
2292360831
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