Organization
COMMUNITY ORGANIZED FOR ADVANCEMENT, INC.
Active
Other names
Youth & Family Service Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KELVIN WILLIAMS (EXECUTIVE DIRECTOR)
(843) 229-8504
Entity
Organization
Contact information
Practice address
106 E THOMAS ST, LAKE CITY, SC 29560-2639
(843) 229-8504
(866) 285-0122
Mailing address
106 E THOMAS STREET, LAKE CITY, SC 29560
(843) 229-8504
(866) 285-0122
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
Primary
—
—
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
Other
Enumeration date
08/05/2007
Last updated
10/27/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up