Organization Name: | RILEY PSYCHIATRIC SERVICES INC |
NPI Number: | 1073689576 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CYNTHIA RILEY (OWNER) |
Mailing Address: | 114 Land O Pines Cir Moncks Corner |
State: | SC US |
Postal Code: | 294615905 |
Phone Number: | 7707222170 |
Fax Number: | |
NPI Enumeration Date: | 11/27/2006 |
NPI Last Update Date: | 08/16/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0808X |
License Number: | RN163734 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |