Organization
MARION-DILLON COUNTY BOARD OF DISABILITIES AND SPECIAL NEEDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY MICHAEL KEITH (EXECUTIVE DIRECTOR)
(843) 423-4484
Entity
Organization
Contact information
Practice address
400 ML KING DRIVE, MARION, SC 29571-1082
(843) 423-4484
(843) 423-0857
Mailing address
400 ML KING DRIVE, PO BOX 1082, MARION, SC 29571-1082
(843) 423-4484
(843) 423-0857
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
CRC-1377
SC
Other
Enumeration date
02/21/2007
Last updated
08/22/2020
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