Organization
SELAH OF THE CAROLINAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY GERBERRY LPC (CLINICAL DIRECTOR)
(602) 509-0293
Entity
Organization
Contact information
Practice address
1530 RICHLAND ST, COLUMBIA, SC 29201-2611
(803) 260-2854
Mailing address
1530 RICHLAND ST, COLUMBIA, SC 29201-2611
(803) 260-2854
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/28/2015
Last updated
12/28/2015
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