Organization
SUBSTANCE ABUSE DISORDER REHABILITATION FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA BETHUME (ADMINISTRATIVE MANAGER)
(803) 534-2328
Entity
Organization
Contact information
Practice address
910 COOK RD, ORANGEBURG, SC 29118-2124
(803) 534-2328
(803) 531-8419
Mailing address
910 COOK RD, ORANGEBURG, SC 29118-2124
(803) 534-2328
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
12/07/2022
Last updated
12/07/2022
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