| Carolina Youth Services | |
|
2150 Spolato Ln E Charleston SC 29406 | |
| (843) 452-0268 | |
| Not Available |
| Full Name | Carolina Youth Services |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2150 Spolato Ln E, Charleston, South Carolina |
| Authorized Official Name and Position | Ronald Witherspoon (DIRECTOR) |
| Authorized Official Contact | 8434520268 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Youth Services 101 Tea Olive Ct Summerville SC 29485 Ph: (843) 452-0268 | Carolina Youth Services 2150 Spolato Ln E Charleston SC 29406 Ph: (843) 452-0268 |
| NPI Number | 1790067973 |
|---|---|
| Provider Enumeration Date | 09/14/2011 |
| Last Update Date | 09/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790067973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LIC-5-11-62510 (South Carolina) | Primary |
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