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Organization

TRANSFORMATION SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIKA GRIFFIN (DIRECTOR)
(803) 320-7294
Entity
Organization

Contact information

Practice address
3351 HOMESTEAD PL, LANCASTER, SC 29720-6306
(803) 320-7294
Mailing address
3351 HOMESTEAD PL, LANCASTER, SC 29720-6306

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
251S00000X
Community/Behavioral Health Agency
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QM0850X
Adult Mental Health Clinic/Center
261QM1300X
Multi-Specialty Clinic/Center

Other

Enumeration date
08/29/2019
Last updated
08/29/2019
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