Organization
KERSHAW COUNTY TEEN HEALTH PROMOTION COALITION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUANITA MENDENHALL MA, CFLE, CFCS (EXECUTIVE DIRECTOR)
(803) 425-1892
Entity
Organization
Contact information
Practice address
110 E DEKALB ST, CAMDEN, SC 29020-4432
(803) 425-1892
Mailing address
PO BOX 626, CAMDEN, SC 29020-0626
(803) 425-1892
(803) 425-1892
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MC0068
—
SC
Enumeration date
03/05/2007
Last updated
08/22/2020
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