Organization
CAROLINA YOUTH COMBAT SYSTEMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADELL A DOBEY (PRESIDENT/CEO)
(803) 480-4051
Entity
Organization
Contact information
Practice address
722 AUGUSTA RD, EDGEFIELD, SC 29824
(803) 637-5526
Mailing address
133 NICHOLSON RD, TRENTON, SC 29847-2629
(803) 480-4051
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/29/2007
Last updated
08/29/2007
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