Organization
FAIRFIELD BEHAVIORAL HEALTH SERVICES
Active
Organization
FAIRFIELD BEHAVIORAL HEALTH SERVICES
Active
Other names
Fairfield County Substance Abuse Commission
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VERNON LAMONT KENNEDY SR. MA CPP (EXECUTIVE DIRECTOR)
(803) 635-2335
Entity
Organization
Contact information
Practice address
178 US HIGHWAY 321 BYPASS N., WINNSBORO, SC 29180
(803) 635-2335
(803) 635-9695
Mailing address
PO BOX 388, WINNSBORO, SC 29180
(803) 635-2335
(803) 635-9695
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AD25FA
—
SC
Enumeration date
08/10/2006
Last updated
11/16/2018
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