Organization
BEHAVIORAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLEY FOULKES-JAMISON (EXECUTIVE DIRECTOR)
(803) 407-5920
Entity
Organization
Contact information
Practice address
7320 COLLEGE ST, SUITE 102, IRMO, SC 29063-2944
(803) 407-5920
Mailing address
7320 COLLEGE ST, SUITE 102, IRMO, SC 29063-2944
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
PY803
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PS0333
—
SC
Enumeration date
02/07/2013
Last updated
02/07/2013
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