Organization
WHITAKER'S CCH
Active
Organization
WHITAKER'S CCH
Active
Other names
murry'sCCH
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VALENCIA W ANDERSON (ADMINISTRATOR)
(803) 786-8561
Entity
Organization
Contact information
Practice address
79 SAL SUE COURT, COLUMBIA, SC 29203
(803) 786-8561
(803) 714-1987
Mailing address
79 SAL SUE, COUMBIA, SC 29203
(803) 786-8561
(803) 714-1987
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
107C92
SC
Other
Enumeration date
03/05/2009
Last updated
03/05/2009
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