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Organization

AMICARE OF SOUTH CAROLINA

Active
Other names
Camp Ghigau
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SHARON DURHAM M.DIV. (EXECUTIVE DIRECTOR)
(864) 944-8118
Entity
Organization

Contact information

Practice address
391 WHITE ROCK RD, TAMASSEE, SC 29686-2015
(864) 944-9875
(864) 944-6790
Mailing address
391 WHITE ROCK RD, TAMASSEE, SC 29686-2015
(864) 944-9875
(864) 944-6790

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
SR-1017120001-CCI
SC

Other

Enumeration date
09/14/2010
Last updated
09/14/2010
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