Organization
COMMUNITY GLOBAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWINA J MACK MSW (PRESIDENT)
(843) 325-5466
Entity
Organization
Contact information
Practice address
1320 MAIN ST STE 300, COLUMBIA, SC 29201-3266
(803) 605-1430
(773) 328-1942
Mailing address
PO BOX 646, COLUMBIA, SC 29202
(803) 605-1430
(773) 328-1942
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/21/2015
Last updated
12/21/2015
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