Organization
BROTHERS OF PEACE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUNE WRIGHT MA/QP (DIRECTOR)
(980) 307-2974
Entity
Organization
Contact information
Practice address
21 ASHTREE RD, CHERAW, SC 29520-6374
(980) 307-2974
Mailing address
21 ASHTREE RD, CHERAW, SC 29520-6374
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
332U00000X
Home Delivered Meals
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
08/10/2017
Last updated
09/20/2017
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