Organization
SOUTH CAROLINA MENTOR, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELAINE MILLER (STATE DIRECTOR)
(803) 799-9025
Entity
Organization
Contact information
Practice address
3600 FOREST DRIVE, SUITE 100, COLUMBIA, SC 29204
(803) 799-9025
(803) 931-8961
Mailing address
3600 FOREST DRIVE, SUITE 100, COLUMBIA, SC 29204
(803) 799-9025
(803) 931-8961
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/02/2008
Last updated
12/31/2012
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