| Crossroads Youth Ranch | |
|
344 Flemming Road Pacolet SC 29372-0000 | |
| (360) 920-1084 | |
| Not Available |
| Full Name | Crossroads Youth Ranch |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 344 Flemming Road, Pacolet, South Carolina |
| Authorized Official Name and Position | Beth Baily (DIRECTOR) |
| Authorized Official Contact | 3609201084 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Youth Ranch Po Box 309 Pacolet SC 29372-0309 Ph: () - | Crossroads Youth Ranch 344 Flemming Road Pacolet SC 29372-0000 Ph: (360) 920-1084 |
| NPI Number | 1033585526 |
|---|---|
| Provider Enumeration Date | 08/19/2015 |
| Last Update Date | 08/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033585526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Rooted Wings Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 131 Cameron St, Pacolet, SC 29372 Phone: 864-398-9322 Fax: 888-707-1002 |