Organization
CENTER OF HOPE OF MYRTLE BEACH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUPERT JAMES MCCORMAC MD (CEO)
(800) 805-6989
Entity
Organization
Contact information
Practice address
104 GEORGE BISHOP PKWY, MYRTLE BEACH, SC 29579-7335
(843) 903-6212
Mailing address
PO BOX 749057, ATLANTA, GA 30374-9057
(800) 805-6989
(864) 558-8511
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
50007270
SC
251S00000X
Community/Behavioral Health Agency
OTPN-0068
SC
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QM2800X
Methadone Clinic
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
03/15/2010
Last updated
09/03/2024
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