Organization
LRC SUBSTANCE ABUSE AND BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAZMINE MCFADDEN (OWNER)
(803) 713-5283
Entity
Organization
Contact information
Practice address
1115 BELLEVIEW ST, COLUMBIA, SC 29201-1839
(803) 740-9298
Mailing address
PO BOX 8724, COLUMBIA, SC 29202-8724
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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