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Organization

ESSENTIAL BEHAVIOR COUNSELING SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HOPE/GREGORY GAINES/EVANS (CO CEO/ CO CEO)
(803) 290-6860
Entity
Organization

Contact information

Practice address
131 POPLAR STREET, ROOM 114, BOWMAN, SC 29018
(803) 290-6860
Mailing address
2344 NORTHVIEW DR, APT 3E, ORANGEBURG, SC 29118-2973
(803) 290-6860

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
251E00000X
Home Health Agency
Primary

Other

Enumeration date
11/07/2011
Last updated
08/28/2012
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