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Organization

PROFESSIONAL ADDICTION SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATHLEEN WATERS ANP (OWNER)
(254) 760-9603
Entity
Organization

Contact information

Practice address
204 N CEDAR ST STE 100, SUMMERVILLE, SC 29483-6453
(843) 821-2480
(843) 875-3149
Mailing address
306 BRICK KILN DR, SUMMERVILLE, SC 29483-5415
(254) 760-9603

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
10/02/2018
Last updated
04/09/2025
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