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Organization

HEALTH ACCESS 360, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PIERRE H BARAKAT (BUSINESS ASSOCIATE)
(803) 261-1291
Entity
Organization

Contact information

Practice address
4711 FOREST DR STE 3-276, COLUMBIA, SC 29206-3125
(803) 261-1291
Mailing address
4711 FOREST DR STE 3-276, COLUMBIA, SC 29206-3125

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
261QHO100X
SC
261QM0850X
Adult Mental Health Clinic/Center
261QM0850X
SC
261QM0855X
Adolescent and Children Mental Health Clinic/Center
261QM0855X
SC

Other

Enumeration date
09/24/2015
Last updated
09/24/2015
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