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Organization
CHESTNUT HILL MENTAL HEALTH CENTER, INC
Active
Organization
CHESTNUT HILL MENTAL HEALTH CENTER, INC
Active
Other names
Springbrook Behavioral Health System
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID B BURLESON (DIRECTOR OF BUSINESS DEVELOPMENT)
(864) 834-8013
Entity
Organization
Contact information
Practice address
1 HAVENWOOD LN, TRAVELERS REST, SC 29690-9447
(864) 834-8013
Mailing address
1 HAVENWOOD LN, TRAVELERS REST, SC 29690-9447
(864) 834-8013
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
SC
106E00000X
Assistant Behavior Analyst
—
SC
106S00000X
Behavior Technician
—
SC
133N00000X
Nutritionist
—
SC
133V00000X
Registered Dietitian
—
SC
207R00000X
Internal Medicine Physician
—
SC
225X00000X
Occupational Therapist
—
SC
235Z00000X
Speech-Language Pathologist
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119917
—
SC
Enumeration date
05/09/2017
Last updated
05/09/2017
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