Organization
MCCULLOUGH STRIVES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PENNEY MCCULLOUGH 8033862395 (COUNSELOR)
(803) 386-2395
Entity
Organization
Contact information
Practice address
160 NORTHLAKE DR, ORANGEBURG, SC 29118-9384
(803) 386-2395
Mailing address
160 NORTHLAKE DR, ORANGEBURG, SC 29118-9384
(803) 386-2395
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
5390
SC
Other
Enumeration date
07/03/2013
Last updated
07/03/2013
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