Organization
CREATING OPPORTUNITITES FOR PERSONAL ENRICHMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE DAVIES (MANAGER)
(803) 387-0313
Entity
Organization
Contact information
Practice address
326 COLEMAN AVE, ORANGEBURG, SC 29115-3734
(803) 387-0313
Mailing address
326 COLEMAN AVE, ORANGEBURG, SC 29115-3734
(803) 387-0313
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/06/2022
Last updated
08/06/2022
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