OrganizationActive
Upstate Affiliate Organization
NPI 1831639459 · Developmental Disabilities Clinic/Center · Spartanburg, SC
Provider details
- NPI number
- 1831639459
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Spence Taylor, Executive - Corporate
- License
- HTL-0936 (SC)
Practice location
249 N Grove Medical Park Dr
#300
Spartanburg, SC 29303-4227
Phone: (864) 598-0420
Fax: (864) 598-0431
Mailing address
1 Independence PT
Greenville, SC 29615-4545
Registry dates
- Enumerated
- 2017-03-01
- Last updated
- 2017-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.