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KEYSTONE SUBSTANCE ABUSE SERVICES NPI 1255334009


NPI Information

NPI: 1255334009
Provider Name: KEYSTONE SUBSTANCE ABUSE SERVICES

Former Legal Business Name: YORK COUNTY COUNCIL ON ALCOHOL AND DRUG ABUSE

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 42D0944578

Address:
199 S HERLONG AVE
ROCK HILL, SC
ZIP 29732
Phone: (803) 324-1800
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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.
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 Danielle Russell .
The authorized official title is Executive Director and has the following contact phone number (803) 324-1800.

The CLIA number assigned to this NPI record is 42D0944578 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/24/2005 and was last updated on 10/14/2020.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderDHEC OTP-44SOUTH CAROLINANo
2324500000XSubstance Abuse Rehabilitation FacilityDHEC ITP-025SOUTH CAROLINANo
3101YA0400XCounselorAddiction (Substance Use Disorder)No
4251S00000XCommunity/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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
119121OTHERCARF CERTIFICATION NUMBER
2AD12YK-SCMEDICAIDSOUTH 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: 11/14/2023

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.