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Organization

NANCY K. PERRY CHILDREN'S SHELTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WILLIAM RYAN TAYLOR LPC (EXECUTIVE DIRECTOR)
(803) 359-8595
Entity
Organization

Contact information

Practice address
4788 PLATT SPRINGS RD, WEST COLUMBIA, SC 29170-1028
(803) 359-8595
Mailing address
PO BOX 344, LEXINGTON, SC 29071-0344
(803) 359-8595

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
05/14/2020
Last updated
05/14/2020
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