PAVILLON GREENVILLE OUTPATIENT SERVICES
NPI 1780934976
Clinic/Center - Rehabilitation, Substance Use Disorder in Greenville, SC

Active since September 14, 2012
101 PELHAM COMMONS BLVD, GREENVILLE, SC 29615(864) 241-6688(864) 241-6682 Get Directions Write a Review

NPPES record last updated: March 11, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pavillon Greenville Outpatient Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAVILLON GREENVILLE OUTPATIENT SERVICES (NPI 1780934976) is a healthcare organization registered as a rehabilitation, substance use disorder in Greenville, South Carolina and active in the NPI registry since September 2012. The organization lists Natalie Fryar, Program Manager, as its authorized official.

NPPES Registry Identity

NPI1780934976
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NamePAVILLON GREENVILLE OUTPATIENT SERVICES
Location Address101 PELHAM COMMONS BLVDGreenville, SC 29615-4974
Mailing Address101 Pelham Commons BlvdGreenville, SC 29615-4974 · (864) 241-6688 · Fax (864) 241-6682
Fax(864) 241-6682
Organization SubpartYesParent: Pavillon International
Authorized OfficialNatalie FryarProgram Manager · (864) 241-6688
Enumeration DateSeptember 14, 2012
Last NPPES UpdateMarch 11, 2015
NPI 1780934976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
License Licensed in SC · OTP 0102
101 PELHAM COMMONS BLVD, Greenville, SC 29615

Other Identifiers 1

Other1023345139SC · Npi

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
101 PELHAM COMMONS BLVD
GREENVILLE, SC 29615

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pavillon Greenville Outpatient Services's NPI number?

The NPI number for Pavillon Greenville Outpatient Services is 1780934976. It was assigned to this organization in the NPPES registry on September 14, 2012.

Where is Pavillon Greenville Outpatient Services located?

Pavillon Greenville Outpatient Services is located at 101 Pelham Commons Blvd, Greenville, SC 29615. The listed phone number is (864) 241-6688.

What is Pavillon Greenville Outpatient Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Pavillon Greenville Outpatient Services was last updated on March 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.