KEYSTONE SUBSTANCE ABUSE SERVICES NPI 1255334009

NPI Information

  • NPI: 1255334009
  • Provider Name: KEYSTONE SUBSTANCE ABUSE SERVICES
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • Former Legal Business Name: YORK COUNTY COUNCIL ON ALCOHOL AND DRUG ABUSE
  • CLIA Number: 42D2266902
  • Address: 199 S HERLONG AVE
    ROCK HILL, SC
    ZIP 29732
  • Phone: (803) 324-1800

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NPI Details

KEYSTONE SUBSTANCE ABUSE SERVICES is a community behavioral health in Rock Hill, 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. KEYSTONE SUBSTANCE ABUSE SERVICES NPI is 1255334009. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is York County Council On Alcohol And Drug Abuse.

The provider's business location address is:

199 S HERLONG AVE
ROCK HILL, SC
ZIP 29732-186
Phone: (803) 324-1800
Fax: (803) 328-3831

The provider's authorized official is Kerri Mcguire .
The authorized official title is Executive Director and has the following contact phone number (803) 323-6851.

The CLIA number assigned to this NPI record is 42D2266902 - federally qualified health center with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/24/2005 and was last updated on 10/30/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderDHEC OTP-44SOUTH CAROLINANo
3291U00000XClinical Medical LaboratoryNo
4324500000XSubstance Abuse Rehabilitation FacilityDHEC ITP-025SOUTH CAROLINANo
5251S00000XCommunity/Behavioral HealthYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1AD12YK-SCMEDICAIDSOUTH CAROLINA
219121OTHERCARF CERTIFICATION NUMBER
3L00915MEDICAIDSOUTH 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: 11/21/2025

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