Organization
CAROLINA HEALTH AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARENCE STEWART DARBY III PHD,PA-C (OWNER)
(803) 606-1738
Entity
Organization
Contact information
Practice address
317 SILVER FOX LN, COLUMBIA, SC 29212-2491
(803) 606-1738
Mailing address
2779 HIGHWAY 15 N, BISHOPVILLE, SC 29010-7101
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
A440
SC
Other
Enumeration date
01/06/2013
Last updated
01/06/2013
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