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LIONS DEN RECREATION CENTER THE NPI 1174903009


NPI Information

NPI: 1174903009
Provider Name: LIONS DEN RECREATION CENTER, THE

Doing Business As: LIONS DEN, THE

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
4159 DORCHESTER RD
SUITE B
NORTH CHARLESTON, SC
ZIP 29405
Phone: (843) 718-3064
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LIONS DEN RECREATION CENTER, THE is a substance abuse rehabilitation facility in North Charleston, 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. LIONS DEN RECREATION CENTER, THE NPI is 1174903009. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Lions Den, The.

The provider's business location address is:

4159 DORCHESTER RD
SUITE B
NORTH CHARLESTON, SC
ZIP 29405-426
Phone: (843) 718-3064
Fax: (843) 718-3064

The provider's authorized official is H. Craig Jackson .
The authorized official title is Director Of Rehabilitation Services and has the following contact phone number (843) 819-9470.

The enumeration date for this NPI number is 6/5/2015 and was last updated on 6/5/2015.


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
1173000000XLegal Medicine981SOUTH CAROLINANo
2251V00000XVoluntary or Charitable981SOUTH CAROLINANo
3276400000XRehabilitation, Substance Use Disorder Unit981SOUTH CAROLINANo
4291U00000XClinical Medical Laboratory981SOUTH CAROLINANo
5324500000XSubstance Abuse Rehabilitation Facility981SOUTH CAROLINAYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.