| Clarendon Behavioral Health Services | |
|
14 N Church St Manning SC 29102-3502 | |
| (803) 435-2121 | |
| (803) 435-8856 |
| Full Name | Clarendon Behavioral Health Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 14 N Church St, Manning, South Carolina |
| Authorized Official Name and Position | Arvilla Ann Kirven (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8034352121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clarendon Behavioral Health Services Po Box 430 Manning SC 29102-0430 Ph: (803) 435-2121 | Clarendon Behavioral Health Services 14 N Church St Manning SC 29102-3502 Ph: (803) 435-2121 |
| NPI Number | 1730176934 |
|---|---|
| Provider Enumeration Date | 10/03/2005 |
| Last Update Date | 08/26/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730176934 | NPI | - | NPPES |
| AD24CL | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | OTP0048 (South Carolina) | Primary |
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