# CAROLINA CHILD PSYCHIATRY, PA

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

## Provider details

- **NPI number:** 1447512892
- **Authorized official:** DR. BALBIR COSHAL MD (PRESIDENT)
- **Authorized official phone:** (803) 771-6500

## Contact information

- **Practice address:** 1911 BARNWELL ST STE A, COLUMBIA, SC 29201-2605
- **Practice address phone:** (803) 771-6500
- **Mailing address:** 1911 BARNWELL ST STE A, COLUMBIA, SC 29201-2605
- **Mailing address phone:** (803) 771-6500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | 14752 | SC | Yes |

## Other

- **Enumeration date:** 06/12/2012
- **Last updated:** 06/12/2012