Organization
PEE DEE MENTAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DORETHA HICKSON (HUMAN SERVICES SPECIALIST 1)
(843) 317-4073
Entity
Organization
Contact information
Practice address
125 E CHEVES ST, FLORENCE, SC 29506-2526
(843) 317-4073
(843) 317-4080
Mailing address
1756 N SPRINGDALE PL, FLORENCE, SC 29506-6912
(843) 317-4073
(843) 317-4080
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376421
—
SC
Enumeration date
10/10/2012
Last updated
10/10/2012
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