Organization
CHEROKEE CREEK BOYS SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID LEPERE (EXECUTIVE DIRECTOR)
(864) 647-1885
Entity
Organization
Contact information
Practice address
198 COOPER RD, WESTMINSTER, SC 29693-3309
(864) 647-1885
(866) 382-1220
Mailing address
198 COOPER RD, WESTMINSTER, SC 29693-3309
(864) 647-1885
(866) 382-1220
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
15740
SC
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
2584
SC
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
5108
SC
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
5259
SC
Other
Enumeration date
11/17/2011
Last updated
12/13/2011
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