| Children's Attention Home | |
|
1149 Edgemont St Rock Hill SC 29730-4971 | |
| (803) 328-8871 | |
| (803) 324-0437 |
| Full Name | Children's Attention Home |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1149 Edgemont St, Rock Hill, South Carolina |
| Authorized Official Name and Position | Anquan Gist (OPERATIONS DIRECTOR) |
| Authorized Official Contact | 8033288871 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Attention Home Po Box 2912 Rock Hill SC 29732-4912 Ph: (803) 328-8871 | Children's Attention Home 1149 Edgemont St Rock Hill SC 29730-4971 Ph: (803) 328-8871 |
| NPI Number | 1306280441 |
|---|---|
| Provider Enumeration Date | 04/19/2013 |
| Last Update Date | 04/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306280441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 253J00000X | Foster Care Agency | SR-0001017787001-CCI (South Carolina) | Secondary |
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