| Center Of Change | |
|
2039 W Dekalb St Building 1, Suite 2 Camden SC 29020-2092 | |
| (803) 432-5200 | |
| (803) 432-5199 |
| Full Name | Center Of Change |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2039 W Dekalb St, Camden, South Carolina |
| Authorized Official Name and Position | Nancy Jenerette Hornsby (OWNER) |
| Authorized Official Contact | 8034325200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center Of Change 2039 W Dekalb St Building 1, Suite 2 Camden SC 29020-2092 Ph: (803) 432-5200 | Center Of Change 2039 W Dekalb St Building 1, Suite 2 Camden SC 29020-2092 Ph: (803) 432-5200 |
| NPI Number | 1417028374 |
|---|---|
| Provider Enumeration Date | 11/13/2006 |
| Last Update Date | 06/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417028374 | NPI | - | NPPES |
| GP4217 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 8724 (South Carolina) | Primary |
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