Clarendon County Djj | |
102 S Mill St Manning SC 29102-3140 | |
(803) 435-8587 | |
Not Available |
Full Name | Clarendon County Djj |
---|---|
Speciality | Community/behavioral Health |
Location | 102 S Mill St, Manning, South Carolina |
Authorized Official Name and Position | Margaret Barber (AGENCY DIRECTOR) |
Authorized Official Contact | 8038965940 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Clarendon County Djj Po Box 21069 Columbia SC 29221-1069 Ph: () - | Clarendon County Djj 102 S Mill St Manning SC 29102-3140 Ph: (803) 435-8587 |
NPI Number | 1740533108 |
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Provider Enumeration Date | 10/23/2012 |
Last Update Date | 10/23/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740533108 | NPI | - | NPPES |
DJJ014 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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