Organization
THE FAMILY CENTER OF AIKEN COUNTY
Active
Other names
Pine Heights Rehabilitation Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDGAR JOE HOLT PHD (CEO/CLINICAL DIRECTOR)
(803) 752-0404
Entity
Organization
Contact information
Practice address
1117 GEORGIA AVE, NORTH AUGUSTA, SC 29841-3012
(803) 752-0404
(888) 384-2250
Mailing address
1117 GEORGIA AVE, NORTH AUGUSTA, SC 29841-3012
(803) 752-0404
(888) 384-2250
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376642884
PROVIDER ID #
SC
05
—
PL1369
—
SC
Enumeration date
06/30/2021
Last updated
06/30/2021
Update your record
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