Organization
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
Active
Parent organization
SOUTH CAROLINA DEPT OF MENTAL HEALTH
Other names
G. Werber Bryan Psychiatric Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTH CAROLINA DEPT OF MENTAL HEALTH
Authorized official
VERSIE BELLAMY (DEPUTY DIRECTOR)
(803) 935-5761
Entity
Organization
Contact information
Practice address
220 FAISON DR, COLUMBIA, SC 29203-3210
(803) 898-8405
Mailing address
PO BOX 485, COLUMBIA, SC 29202-0485
(803) 898-8405
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
HTL515
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A00515
—
SC
Enumeration date
07/20/2006
Last updated
09/20/2019
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