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Organization
BRIDGES CLUBHOUSE
Active
Organization
BRIDGES CLUBHOUSE
Active
Other names
Mental Health America of South Carolina
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YOSHIHIRO NAKAMURA (CLINICAL COUNSELOR)
(803) 796-0353
Entity
Organization
Contact information
Practice address
1519 WINYAH DR, COLUMBIA, SC 29203-2925
(803) 528-6752
Mailing address
1519 WINYAH DR, COLUMBIA, SC 29203-2925
(803) 528-6752
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
01858 600
SC
Other
Enumeration date
06/14/2007
Last updated
08/22/2020
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