Organization
PALMETTO FAMILY SERVICE CENTER OF SC
Active
Parent organization
PALMETTO AIDS LIFE SUPPORT SERVICES, INC
Other names
Palmetto AIDS Life Support Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
PALMETTO AIDS LIFE SUPPORT SERVICES, INC
Authorized official
CARMEN HAMPTON JULIOUS LISW-CP&AP (CHIEF EXECUTIVE OFFICER)
(803) 779-7257
Entity
Organization
Contact information
Practice address
2638 TWO NOTCH RD, SUITE 108, COLUMBIA, SC 29204-1454
(803) 779-7257
(803) 779-5285
Mailing address
2638 TWO NOTCH RD, SUITE 108, COLUMBIA, SC 29204-1454
(803) 779-7257
(803) 779-5285
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/11/2014
Last updated
04/11/2014
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