Organization
TRI-COUNTY COMMISSION ON ALCOHOL AND DRUG ABUSE
Active
Other names
Wlliam J. McCord Adolescent Treatment Facility
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RICHARD S. FOWLER (EXECUTIVE DIRECTOR)
(803) 536-4900
Entity
Organization
Contact information
Practice address
910 COOK ROAD, ORANGEBURG, SC 29118
(803) 536-4900
Mailing address
PO BOX 1166, ORANGEBURG, SC 29116-1166
(803) 536-4900
(803) 531-8419
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
HTL-0619
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
M00036SC1
—
SC
Enumeration date
08/05/2010
Last updated
08/05/2010
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