Organization
SEASON 4 CHANGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARRELL WILLIAM JONES LISW-CP (CLINICAL SOCIAL WORKER)
(912) 508-2582
Entity
Organization
Contact information
Practice address
3524 JEFFERSON DAVIS HWY, GRANITEVILLE, SC 29829-9998
(803) 380-9004
Mailing address
139 BARNARD AVE SE, AIKEN, SC 29801-7203
(912) 508-2582
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/18/2019
Last updated
12/06/2024
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