# CLARENDON BEHAVIORAL HEALTH

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

## Provider details

- **NPI number:** 1629529698
- **Authorized official:** ANN KIRVEN (INTERUM CEO)
- **Authorized official phone:** (803) 435-2121

## Contact information

- **Practice address:** 14 N. CHURCH STREET, MANNING, SC 29102
- **Practice address phone:** (803) 435-2121
- **Practice address fax:** (803) 435-8856
- **Mailing address:** 14 N. CHURCH STREET, MANNING, SC 29102
- **Mailing address phone:** (803) 435-2121
- **Mailing address fax:** (803) 435-8856

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | SC | Yes |

## Other

- **Enumeration date:** 10/14/2016
- **Last updated:** 10/14/2016