NPIMap

Organization Active NPI

Greenville County Commission on Alcohol and Drug Abuse

Doing business as The Phoenix Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Greenville, SC
National Provider Identifier
1891795738
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
GREENVILLE COUNTY COMMISSION ON ALCOHOL AND DRUG ABUSE
Doing business as
The Phoenix Center
Practice address
130 Industrial Dr Ste C
Greenville, SC 29607-3241
Phone
(864) 467-3770
Fax
(864) 467-3765
NPI assigned
Jul 21, 2005
Last updated
Aug 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Rebecca Maddox
Title
Deputy Director
Phone
(864) 467-3742

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU Primary

Addresses

Primary practice location

130 Industrial Dr Ste C
Greenville, SC 29607-3241

Mailing address

P O Box 1948
Greenville, SC 29602-1948
Phone (864) 467-3790

Other names 1

  • The Phoenix Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Greenville County Commission on Alcohol and Drug Abuse3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

130 Industrial Dr
Ste C
Greenville, SC 29607
Phone (864) 467-3770

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629244800000",
    "number": "1891795738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 1948",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296021948",
            "telephone_number": "864-467-3790",
            "fax_number": "864-467-3779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 INDUSTRIAL DR STE C",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073241",
            "telephone_number": "864-467-3770",
            "fax_number": "864-467-3765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENVILLE COUNTY COMMISSION ON ALCOHOL AND DRUG ABUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-21",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A",
        "authorized_official_last_name": "MADDOX",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "DEPUTY DIRECTOR",
        "authorized_official_telephone_number": "864-467-3742",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Phoenix Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Phoenix Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.