Organization
FAMILY ALLIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARETHA ALLISON (CEO)
(803) 387-6186
Entity
Organization
Contact information
Practice address
1863 MAGNOLIA ST, ORANGEBURG, SC 29115-4486
(803) 387-6186
Mailing address
PO BOX 636, ORANGEBURG, SC 29116-0636
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
5793
SC
Other
Enumeration date
06/25/2007
Last updated
08/22/2020
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