Organization
CAROLINA BEHAVIORAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHEAL GEROD GORE MSSA, LISW-CP (EXECUTIVE DIRECTOR)
(803) 467-1263
Entity
Organization
Contact information
Practice address
130 BROAD ST, SUMTER, SC 29150-4237
(803) 774-4377
(803) 774-4378
Mailing address
130 BROAD ST, SUMTER, SC 29150-4237
(803) 774-4377
(803) 774-4378
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/01/2016
Last updated
12/01/2016
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