Organization
JAYREESE CONTRACTING,INC.
Active
Other names
Jayreese Therapeutic Services
Organization subpart
No
Provider details
NPI number
Authorized official
DORA D. JAMES MSW (EXECUTIVE DIRECTOR)
(843) 838-3295
Entity
Organization
Contact information
Practice address
22 OLD POLOWANA ROAD, ST. HELENA ISLAND, SC 29920-1583
(843) 838-3295
(843) 838-4766
Mailing address
PO BOX 1583, SAINT HELENA ISLAND, SC 29920-1583
(843) 838-3295
(843) 838-4766
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CBT012
—
SC
Enumeration date
11/13/2006
Last updated
08/22/2020
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