OrganizationActive
Greenville County Disabilities and Special Needs Board
NPI 1699088070 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Greenville, SC
Provider details
- NPI number
- 1699088070
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- John Cocciolone, Executive Director(864) 288-1907
- License
- 42G128 (SC)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 42G128 (SC)
Residential Treatment Facilities
Practice location
1700 Ridge Road
Greenville, SC 29607-4730
Phone: (864) 288-1907
Fax: (864) 297-4990
Approximate (ZIP-level) locationGet directions
Mailing address
P.o. Box 17467
Greenville, SC 29606-8467
Registry dates
- Enumerated
- 2010-07-14
- Last updated
- 2015-12-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.