# EXCHANGE CLUB CENTER

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

## Provider details

- **NPI number:** 1548466923
- **Authorized official:** MS. LATANYA FISHER (PROGRAM DIRECTOR)
- **Authorized official phone:** (843) 747-1339

## Contact information

- **Practice address:** 1092 E MONTAGUE AVE, NORTH CHARLESTON, SC 29405-4837
- **Practice address phone:** (843) 747-1339
- **Mailing address:** 1092 E MONTAGUE AVE, NORTH CHARLESTON, SC 29405-4837

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/22/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | MC0064 | — | SC |