Organization
PROVIDING H.O.P.E. BY SRJ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SONYA R JENKINS (OWNER)
(843) 557-2760
Entity
Organization
Contact information
Practice address
2100 CHARLIE HALL BLVD, CHARLESTON, SC 29414-5832
(843) 852-4100
Mailing address
3305 GOLDENROD ST, NORTH CHARLESTON, SC 29405-7866
(843) 864-3679
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760596480
—
SC
Enumeration date
07/15/2020
Last updated
03/19/2021
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