Organization
BARNWELL COUNTY COMMISSION ON ALCOHOL AND DRUG ABUSE
Active
Organization
BARNWELL COUNTY COMMISSION ON ALCOHOL AND DRUG ABUSE
Active
Other names
Axis I Center of Barnwell
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAMELA F RUSH CSPS, ICPS (EXECUTIVE DIRECTOR)
(803) 541-1245
Entity
Organization
Contact information
Practice address
179 FULDNER ROAD, BARNWELL, SC 29812
(803) 541-1245
(803) 541-1247
Mailing address
179 FULDNER ROAD, BARNWELL, SC 29812
(803) 541-1245
(803) 541-1247
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AD31BA
—
SC
Enumeration date
07/14/2005
Last updated
03/15/2021
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