# HIDDEN SENTENCE THE REHAB PERIOD

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

## Provider details

- **NPI number:** 1376297150
- **Authorized official:** MRS. FREDREKA WILSON MOFFATT (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (803) 524-8909

## Contact information

- **Practice address:** 1731 RHYNES TRL, ROCK HILL, SC 29732-5566
- **Practice address phone:** (803) 524-8909
- **Mailing address:** 1731 RHYNES TRL, ROCK HILL, SC 29732-5566
- **Mailing address phone:** (803) 524-8909

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 324500000X | Substance Abuse Rehabilitation Facility | — | NULL | — |
| 405300000X | Prevention Professional | — | NULL | — |
| 405300000X | Prevention Professional | — | — | — |

## Other

- **Enumeration date:** 02/09/2022
- **Last updated:** 02/09/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 260536140034111 | 501(C)3 | SC |