Organization
CHILDRENS RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE BANDEL (BUSINESS MANAGER)
(843) 448-3400
Entity
Organization
Contact information
Practice address
1801 LEGION ST, MYRTLE BEACH, SC 29577-3113
(843) 448-3400
(843) 626-5040
Mailing address
1801 LEGION ST, MYRTLE BEACH, SC 29577-3113
(843) 448-3400
(843) 626-5040
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
SC0277
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
E712861106
—
SC
Enumeration date
06/15/2009
Last updated
06/15/2009
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