Organization
RESILIENCE COMMUNITY SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE PORTER LPN (CEO)
(704) 497-6131
Entity
Organization
Contact information
Practice address
1612 MARION ST., SUITE 328A, COLUMBIA, SC 29201
(704) 497-6131
(704) 303-9793
Mailing address
1612 MARION ST, SUITE 328A, COLUMBIA, SC 29201-2939
(704) 497-6131
(704) 303-9793
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A10380
NC
Other
Enumeration date
03/02/2015
Last updated
03/02/2015
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