MENTAL ILLNESS RECOVERY CENTER NPI 1194047563

NPI Details

MENTAL ILLNESS RECOVERY CENTER is a community behavioral health in Columbia, 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. MENTAL ILLNESS RECOVERY CENTER NPI is 1194047563. The provider is registered as an organization entity type.
The provider Other Name Is Mirci.

The provider's business location address is:

3809 ROSEWOOD DR
COLUMBIA, SC
ZIP 29205-533
Phone: (803) 786-1844
Fax: (803) 939-2646

The provider's authorized official is Julie Ann Avin .
The authorized official title is President & Executive Director and has the following contact phone number (803) 786-1844.

The CLIA number assigned to this NPI record is 42D2119173 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/25/2010 and was last updated on 9/2/2020.

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: