# SC DEPARTMENT OF HEALTH AND HUMAN SERVICES

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

## Provider details

- **NPI number:** 1093082141
- **Authorized official:** MR. JAMES NICHOLAS COURSEY (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (803) 898-1964

## Contact information

- **Practice address:** 1801 MAIN STREET, SUITE 1246, COLUMBIA, SC 29201
- **Practice address phone:** (803) 898-1964
- **Practice address fax:** (803) 870-8774
- **Mailing address:** 1801 MAIN STREET, SUITE 1246, COLUMBIA, SC 29201
- **Mailing address phone:** (803) 898-1964

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/17/2011
- **Last updated:** 06/18/2019