Organization
BRIDGES CLUBHOUSE
Active
Other names
Mental Health America of South Carolina
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YOSHIHIRO NAKAMURA (CLINICAL COUNSELOR)
(803) 796-0353
Entity
Organization
Contact information
Practice address
1519 WINYAH DR, COLUMBIA, SC 29203-2925
(803) 528-6752
Mailing address
1519 WINYAH DR, COLUMBIA, SC 29203-2925
(803) 528-6752
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
01858 600
SC
Other
Enumeration date
06/14/2007
Last updated
08/22/2020
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