Circle Park Behavioral Health Services | |
601 Greg Avenue Florence SC 29501 | |
(843) 665-3928 | |
(843) 667-1615 |
Full Name | Circle Park Behavioral Health Services |
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Speciality | Substance Abuse Rehabilitation Facility |
Location | 601 Greg Avenue, Florence, South Carolina |
Authorized Official Name and Position | William Russell Terrell (DEPUTY CEO) |
Authorized Official Contact | 8436659349 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Circle Park Behavioral Health Services Po Box 6196 Florence SC 29502 Ph: (843) 665-3929 | Circle Park Behavioral Health Services 601 Greg Avenue Florence SC 29501 Ph: (843) 665-3928 |
NPI Number | 1114922283 |
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Provider Enumeration Date | 06/16/2005 |
Last Update Date | 11/06/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114922283 | NPI | - | NPPES |
AD04FL | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Primary |
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