# BERKELEY CITIZENS INC

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

## Provider details

- **NPI number:** 1982267605
- **Authorized official:** MRS. HOLLY A. FRYE (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (843) 761-0300

## Contact information

- **Practice address:** P0 DRAWER 429 1301 OLD HWY 52 SOUTH, MONCKS CORNER, SC 29461
- **Practice address phone:** (843) 761-0300
- **Practice address fax:** (843) 761-0303
- **Mailing address:** P0 DRAWER 429 1301 OLD HWY 52 SOUTH, MONCKS CORNER, SC 29461
- **Mailing address phone:** (843) 761-0300
- **Mailing address fax:** (843) 761-0303

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/18/2019
- **Last updated:** 05/01/2019
