Children's Attention Home | |
1149 Edgemont St Rock Hill SC 29730-4971 | |
(803) 328-8871 | |
(803) 324-0437 |
Full Name | Children's Attention Home |
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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 |
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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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