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Organization
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
Active
Organization
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
Active
Other names
CHARLESTON DORCHESTER MENTAL HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY L TURNER (CONTROLLER)
(803) 898-8503
Entity
Organization
Contact information
Practice address
2100 CHARLIE HALL BLVD, CHARLESTON, SC 29414-5832
(843) 852-4100
Mailing address
2100 CHARLIE HALL BLVD, CHARLESTON, SC 29414-5832
(843) 852-4100
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
190166
—
SC
01
—
20048847
SELECT HEALTH MEDICAID HM
SC
Enumeration date
08/19/2006
Last updated
06/20/2024
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