Provider First Line Business Practice Location Address:
2900 EVATT LANE SUITE 106
Provider Second Line Business Practice Location Address:
PALMETTO BEHAVIORAL HEALTH SOLUTIONS LLC
Provider Business Practice Location Address City Name:
CHARLESTON
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29405
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
843-745-5189
Provider Business Practice Location Address Fax Number:
843-747-8080
Provider Enumeration Date:
11/02/2005