Organization
DICKERSON CENTER FOR CHILDREN, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AILEEN CUNLIFFE (THERAPIST)
(803) 791-1511
Entity
Organization
Contact information
Practice address
1615 AUGUSTA RD, WEST COLUMBIA, SC 29169-5629
(803) 791-1511
Mailing address
1615 AUGUSTA RD, WEST COLUMBIA, SC 29169-5629
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
2573
SC
Other
Enumeration date
06/25/2009
Last updated
06/25/2009
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