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SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE NPI 1568671030


NPI Information

NPI: 1568671030
Provider Name: SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE

Doing Business As: EARLE E. MORRIS, JR., ALCOHOL AND DRUG ADDICTION TREATMENT CENTER

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
610 FAISON DR
COLUMBIA, SC
ZIP 29203
Phone: (803) 898-8405
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SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE is a substance abuse rehabilitation facility in Columbia, SC. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE NPI is 1568671030. The provider is registered as an organization entity type.
The provider Is Doing Business As Earle E. Morris, Jr., Alcohol And Drug Addiction Treatment Center.

The provider's business location address is:

610 FAISON DR
COLUMBIA, SC
ZIP 29203-218
Phone: (803) 898-8405
Fax: (803) 898-8526

The provider's authorized official is Versie Bellamy .
The authorized official title is Deputy Director and has the following contact phone number (803) 935-5761.

The enumeration date for this NPI number is 5/22/2007 and was last updated on 9/20/2019.


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
1324500000XSubstance Abuse Rehabilitation FacilityHTL-516SOUTH 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
1GP1799MEDICAIDSOUTH 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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