Organization
KEYSTONE SUBSTANCE ABUSE SERVICES
Active
Other names
York County Council on Alcohol and Drug Abuse
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KERRI MCGUIRE PHD, LPC, NCC (EXECUTIVE DIRECTOR)
(803) 323-6851
Entity
Organization
Contact information
Practice address
199 S HERLONG AVE, ROCK HILL, SC 29732-1186
(803) 324-1800
(803) 328-3831
Mailing address
PO BOX 4437, ROCK HILL, SC 29732-6437
(803) 324-1800
(803) 328-3831
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
DHEC OTP-44
SC
291U00000X
Clinical Medical Laboratory
—
—
324500000X
Substance Abuse Rehabilitation Facility
DHEC ITP-025
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19121
CARF CERTIFICATION NUMBER
—
05
—
AD12YK-SC
—
SC
05
—
L00915
—
SC
Enumeration date
05/24/2005
Last updated
10/30/2023
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