Organization
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
Active
Parent organization
SOUTH CAROLINA DEPT OF MENTAL HEALTH
Other names
Earle E. Morris, Jr., Alcohol and Drug Addiction Treatment Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTH CAROLINA DEPT OF MENTAL HEALTH
Authorized official
VERSIE BELLAMY (DEPUTY DIRECTOR)
(803) 935-5761
Entity
Organization
Contact information
Practice address
610 FAISON DR, COLUMBIA, SC 29203-3218
(803) 898-8405
(803) 898-8526
Mailing address
PO BOX 485, COLUMBIA, SC 29202-0485
(803) 898-8405
(803) 898-8526
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
HTL-516
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP1799
—
SC
Enumeration date
05/22/2007
Last updated
09/20/2019
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