Organization
THE ERNEST E KENNEDY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARI RICHARDSON BOLDEN MSW, LMSW, SAP (CLINICAL COUNSELOR III)
(843) 797-7871
Entity
Organization
Contact information
Practice address
306 AIRPORT DR, MONCKS CORNER, SC 29461-2629
(843) 797-7871
(843) 797-8638
Mailing address
306 AIRPORT DR, MONCKS CORNER, SC 29461-2629
(843) 797-7871
(843) 797-8638
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1884
SC
Other
Enumeration date
05/07/2007
Last updated
08/22/2020
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