Organization
FLORENCE COUNTY COMMISSION ON ALCOHOL AND DRU
Active
Other names
Circle Park Behavioral Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM RUSSELL TERRELL JR. (DEPUTY CEO)
(843) 665-9349
Entity
Organization
Contact information
Practice address
601 GREG AVENUE, FLORENCE, SC 29501
(843) 665-3928
(843) 667-1615
Mailing address
PO BOX 6196, FLORENCE, SC 29502
(843) 665-3929
(843) 667-1615
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AD04FL
—
SC
Enumeration date
06/16/2005
Last updated
11/06/2009
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