Organization
CHARIS CHRISTIAN COUNSELING CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN A BASIE LPC (THERAPIST)
(803) 493-7272
Entity
Organization
Contact information
Practice address
1190 GOLD HILL RD, FORT MILL, SC 29708-8977
(803) 493-7272
Mailing address
1525 BAYBERRY PL, CLOVER, SC 29710-8548
(803) 493-7272
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
4675
SC
Other
Enumeration date
06/19/2014
Last updated
06/19/2014
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