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FLORENCE COUNTY COMMISSION ON ALCOHOL AND DRU NPI 1447583984


NPI Information

NPI: 1447583984
Provider Name: FLORENCE COUNTY COMMISSION ON ALCOHOL AND DRU

Doing Business As: CIRCLE PARK BEHAVIORAL HEALTH SERVICES

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
601 GREGG AVENUE
FLORENCE, SC
ZIP 29501
Phone: (843) 665-3928
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FLORENCE COUNTY COMMISSION ON ALCOHOL AND DRU is a community behavioral health in Florence, SC. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. FLORENCE COUNTY COMMISSION ON ALCOHOL AND DRU NPI is 1447583984. The provider is registered as an organization entity type.
The provider Is Doing Business As Circle Park Behavioral Health Services.

The provider's business location address is:

601 GREGG AVENUE
FLORENCE, SC
ZIP 29501
Phone: (843) 665-3928
Fax: (843) 667-1615

The provider's authorized official is Randall Craig Cole .
The authorized official title is Ceo and has the following contact phone number (843) 665-9349.

The enumeration date for this NPI number is 9/16/2009 and was last updated on 11/6/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral HealthNo
2251S00000XCommunity/Behavioral Health101Y00000XSOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1AD04FLMEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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