Organization
HORRY COUNTY COMM ON ALCOHOL & DRUG ABUSE
Active
Parent organization
HORRY COUNTY COMM ON ALCOHOL & DRUG ABUSE
Other names
Shoreline Behavioral Health Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
HORRY COUNTY COMM ON ALCOHOL & DRUG ABUSE
Authorized official
CRYSTAL SADLER (DIRECTOR OF ADMINISTRATION)
(843) 365-8884
Entity
Organization
Contact information
Practice address
2404 WISE RD, CONWAY, SC 29526-5521
(843) 365-8884
Mailing address
2404 WISE RD, CONWAY, SC 29526-5521
(843) 365-8884
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AD26HR
—
SC
05
—
PG2030
—
SC
Enumeration date
03/05/2024
Last updated
02/04/2026
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