Organization
ROCKHAVEN CCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHIE DAVELL BARNES (ADMINISTRATOR)
(803) 699-5361
Entity
Organization
Contact information
Practice address
524 ROCKHAVEN DR, COLUMBIA, SC 29223-7805
(803) 699-5361
Mailing address
524 ROCKHAVEN DR, COLUMBIA, SC 29223-7805
(803) 699-5361
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
RC0800
SC
Other
Enumeration date
08/14/2008
Last updated
08/14/2008
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