Organization
CAROLINA TEEN CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA HART (EXECUTIVE DIRECTOR)
(843) 364-1363
Entity
Organization
Contact information
Practice address
933 W 1ST NORTH ST, SUMMERVILLE, SC 29483-3827
(843) 364-1363
Mailing address
933 W 1ST NORTH ST, SUMMERVILLE, SC 29483-3827
(843) 364-1363
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/30/2017
Last updated
07/21/2022
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