Organization
COMMUNITIES IN SCHOOLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. O MAX MELTON JR. (EXECUTIVE DIRECTOR)
(803) 285-2311
Entity
Organization
Contact information
Practice address
1240 CHILDRENS AVE, LANCASTER, SC 29720-7886
(803) 285-2311
(803) 285-2315
Mailing address
PO BOX 3241, 1240 CHILDREN'S AVE, LANCASTER, SC 29721-3241
(803) 285-2311
(803) 285-2315
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
NA
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MC0048
—
SC
Enumeration date
04/24/2006
Last updated
08/22/2020
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