Organization
OPTIONS FOR SOCIAL CHANGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHIRLEY FORD MSW, LISW CP/AP (EXECUTIVE DIRECTOR)
(843) 343-4188
Entity
Organization
Contact information
Practice address
2145 DORCHESTER RD, N CHARLESTON, SC 29405-7763
(843) 343-4188
Mailing address
2396 ERSKINE AVE, CHARLESTON, SC 29414-7004
(843) 343-4188
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
SC 1449
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
K2T2J72GD2FM0DB
—
SC
Enumeration date
10/26/2015
Last updated
11/18/2015
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