Organization
MILITARY SPOUSAL SUPPORT CENTER
Active
Other names
MSSC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHIRLEY KING MILLER (PRESIDENT)
(803) 324-1976
Entity
Organization
Contact information
Practice address
410 OAKLAND AVE, ROCK HILL, SC 29730-3530
(803) 324-1976
(803) 324-4578
Mailing address
410 OAKLAND AVE, ROCK HILL, SC 29730-3530
(803) 324-1976
(803) 324-4578
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CSM1561
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3645P0809X
PSYCH CNS
SC
Enumeration date
11/24/2007
Last updated
11/24/2007
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