Organization
DA SPOTT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN L WILLIAMS M.A. (CHIEF EXECUTIVE OFFICER)
(803) 223-3321
Entity
Organization
Contact information
Practice address
100 FORUM DR STE 3, SUITE 106, COLUMBIA, SC 29229-7945
(803) 223-3321
Mailing address
6941 N TRENHOLM RD, SUITE Q, COLUMBIA, SC 29206-1715
(803) 223-3321
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
SC
Other
Enumeration date
08/04/2011
Last updated
08/04/2011
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