| Outside Of The Box Therapy | |
|
115 E Montgomery St Gaffney SC 29340-3017 | |
| (864) 597-2054 | |
| Not Available |
| Full Name | Outside Of The Box Therapy |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 115 E Montgomery St, Gaffney, South Carolina |
| Authorized Official Name and Position | Christie Rogers Larke (OWNER) |
| Authorized Official Contact | 8645972054 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Outside Of The Box Therapy Po Box 170581 Spartanburg SC 29301-0029 Ph: (864) 597-2054 | Outside Of The Box Therapy 115 E Montgomery St Gaffney SC 29340-3017 Ph: (864) 597-2054 |
| NPI Number | 1386190288 |
|---|---|
| Provider Enumeration Date | 08/30/2016 |
| Last Update Date | 08/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386190288 | NPI | - | NPPES |
| PC1250 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 5222 (South Carolina) | Primary |
| 252Y00000X | Early Intervention Provider Agency | 5222 (South Carolina) | Secondary |
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