Organization
COUNTRY COMFORT CRCF
Active
Other names
clifford a. counts
Organization subpart
No
Provider details
NPI number
Authorized official
CLIFFORD ALAN COUNTS (OWNER / ADMINISTRATOR)
(803) 735-9777
Entity
Organization
Contact information
Practice address
204 JOE APREE CIR, BLYTHEWOOD, SC 29016-8807
(803) 735-9777
Mailing address
204 JOE APREE CIR, BLYTHEWOOD, SC 29016-8807
(803) 735-9777
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
CRC-1467
SC
Other
Enumeration date
05/26/2009
Last updated
05/26/2009
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