| Fbtc Transitional Sub, Llc | |
|
3229 Argent Blvd Ste A Ridgeland SC 29936-3114 | |
| (508) 521-2200 | |
| (508) 427-2227 |
| Full Name | Fbtc Transitional Sub, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3229 Argent Blvd Ste A, Ridgeland, South Carolina |
| Authorized Official Name and Position | Mary Patricia Rodenberg-roberts (VP& SR. ASST GENERAL COUNSEL) |
| Authorized Official Contact | 9528362234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fbtc Transitional Sub, Llc 55 Tozer Rd Beverly MA 01915-5515 Ph: (978) 969-2894 | Fbtc Transitional Sub, Llc 3229 Argent Blvd Ste A Ridgeland SC 29936-3114 Ph: (508) 521-2200 |
| NPI Number | 1336868769 |
|---|---|
| Provider Enumeration Date | 08/29/2022 |
| Last Update Date | 11/27/2023 |
| Certification Date | 11/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336868769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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