Organization
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
Active
Parent organization
SOUTH CAROLINA DEPT OF MENTAL HEALTH
Other names
G. Werber Bryan Psychiatric
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTH CAROLINA DEPT OF MENTAL HEALTH
Authorized official
VERSIE J BELLAMY (DEPUTY DIRECTOR)
(803) 935-5761
Entity
Organization
Contact information
Practice address
220 FAISON DR, COLUMBIA, SC 29203-3210
(803) 898-1662
Mailing address
2414 BULL ST, COLUMBIA, SC 29201-1906
(803) 898-8405
(803) 898-8526
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP2112
—
SC
05
—
GP2583
—
SC
Enumeration date
05/11/2006
Last updated
09/20/2019
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