# CALHOUN COUNTY DISABILITIES AND SPECIAL NEEDS BOARD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053970277
- **Authorized official:** MS. JEWEL RUSSELL (CASE MANAGEMENT SUPERVISOR)
- **Authorized official phone:** (803) 535-9653

## Contact information

- **Practice address:** 78 DOODLE HILL RD, SAINT MATTHEWS, SC 29135-8201
- **Practice address phone:** (803) 535-9653
- **Practice address fax:** (803) 874-2660
- **Mailing address:** 78 DOODLE HILL RD, SAINT MATTHEWS, SC 29135-8201
- **Mailing address phone:** (803) 535-9653
- **Mailing address fax:** (803) 874-2660

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/11/2019
- **Last updated:** 06/11/2019