Organization
ASHLEIGH PLACE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA DAWN HOLLINGSWORTH L.S.W/L.C.S. (EXECUTIVE DIRECTOR)
(803) 284-4433
Entity
Organization
Contact information
Practice address
4435 ASHLEIGH RD, BLACKVILLE, SC 29817-4463
(803) 284-4433
(803) 284-0130
Mailing address
4435 ASHLEIGH RD, BLACKVILLE, SC 29817-4463
(803) 284-4433
(803) 284-0130
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
SR-0000547001-CCI
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
921MXH
—
SC
Enumeration date
04/28/2006
Last updated
08/22/2020
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