Healthcare Provider Details

I. General information

NPI: 1376691022
Provider Name (Legal Business Name): SALUDA COUNTY ALCOHOL & DRUG ABUSE COMM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 03/28/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

204 N RAMAGE ST
SALUDA SC
29138-1359
US

IV. Provider business mailing address

204 N RAMAGE ST
SALUDA SC
29138-1359
US

V. Phone/Fax

Practice location:
  • Phone: 864-445-2968
  • Fax: 864-445-9592
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JULIE LORRAINE MARTIN
Title or Position: DIRECTOR OF ADMINISTRATION
Credential:
Phone: 864-445-2968