| Child And Family Resource Center | |
|
702b W Carolina Ave Hartsville SC 29550-4412 | |
| (843) 917-0495 | |
| (843) 917-0495 |
| Full Name | Child And Family Resource Center |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 702b W Carolina Ave, Hartsville, South Carolina |
| Authorized Official Name and Position | Teresa Redfearn (LICENSED PSYCHO EDUCATIONAL SPECIAL) |
| Authorized Official Contact | 8439170495 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Child And Family Resource Center 702b W Carolina Ave Hartsville SC 29550-4412 Ph: (843) 917-0495 | Child And Family Resource Center 702b W Carolina Ave Hartsville SC 29550-4412 Ph: (843) 917-0495 |
| NPI Number | 1265847255 |
|---|---|
| Provider Enumeration Date | 06/27/2014 |
| Last Update Date | 06/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265847255 | NPI | - | NPPES |
| 4605 | Other | SC | STATE LPES LICENSE NUMBER |
| LP1000 | Medicaid | SC |
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