Organization
MCIVERS ADULT & YOUTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND M MCIVER (CEO)
(980) 207-0072
Entity
Organization
Contact information
Practice address
317 GREENE ST, CHERAW, SC 29520-2330
(704) 967-9826
Mailing address
317 GREENE ST, CHERAW, SC 29520-2330
(704) 967-9826
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
01/23/2024
Last updated
01/23/2024
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