Organization
SOCIAL REMEDIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOMINIC BRANDON SIMON LMSW, CPT (CEO)
(803) 225-6441
Entity
Organization
Contact information
Practice address
920 BERRY ST, MANNING, SC 29102-2002
(803) 225-6441
Mailing address
920 BERRY ST, MANNING, SC 29102-2002
(803) 225-6441
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
SC
323P00000X
Psychiatric Residential Treatment Facility
462164732
SC
Other
Enumeration date
10/05/2017
Last updated
07/21/2022
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