Organization
BIG BROTHERS BIG SISTERS OF GR. COLUMBIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIE TOVEY (PRESIDENT/CEO)
(803) 691-5700
Entity
Organization
Contact information
Practice address
4300 NORTH MAIN STREET, SUITE 200, COLUMBIA, SC 29203-5950
(803) 691-5700
(803) 691-5701
Mailing address
4300 NORTH MAIN STREET, SUITE 200, COLUMBIA, SC 29203-5950
(803) 691-5700
(803) 691-5701
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MC0028
SC MEDICAID PROVIDER NO.
SC
Enumeration date
10/18/2006
Last updated
08/22/2020
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