Organization
S.C.DEPT OF MENTAL HEALTH
Active
Other names
PEE DEE MENTAL HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ZONDRA SAMUELS (HUMAN SERVICE SPECIALST)
(843) 431-1100
Entity
Organization
Contact information
Practice address
125 E CHEVES ST, FLORENCE, SC 29506-2526
(843) 317-4089
(843) 317-4096
Mailing address
125 E CHEVES ST, FLORENCE, SC 29506-2526
(843) 317-4089
(843) 317-4096
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3337
MEDICARE
SC
05
—
376241
—
SC
Enumeration date
02/17/2011
Last updated
02/17/2011
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