# JCTA5221 ENTERPRISES, LLC

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

## Provider details

- **NPI number:** 1518773779
- **Authorized official:** JEREMY C. PICHANY (CHIEF OFFICER)
- **Authorized official phone:** (570) 468-5683

## Contact information

- **Practice address:** 6105 N KINGS HWY, MYRTLE BEACH, SC 29577-2372
- **Practice address phone:** (570) 468-5683
- **Mailing address:** 276 PALM COVE CIR, MYRTLE BEACH, SC 29588-1405
- **Mailing address phone:** (570) 468-5683

## Taxonomy

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

## Other

- **Enumeration date:** 12/03/2024
- **Last updated:** 08/23/2025