Organization
CORINE'S CARE MANAGEMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WATOANAR FLANAGAN (PRESIDENT)
(252) 933-2307
Entity
Organization
Contact information
Practice address
10014 TWO NOTCH RD, COLUMBIA, SC 29223-4317
(252) 933-2307
Mailing address
P.O. BOX 106, COLUMBIA, SC 29202-0106
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
SC
101YM0800X
Mental Health Counselor
—
SC
101YP2500X
Professional Counselor
—
NC
1041C0700X
Clinical Social Worker
—
SC
2084P0800X
Psychiatry Physician
—
SC
2084P0804X
Child & Adolescent Psychiatry Physician
—
SC
251B00000X
Case Management Agency
—
SC
251S00000X
Community/Behavioral Health Agency
Primary
—
SC
Other
Enumeration date
10/18/2011
Last updated
10/18/2011
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