| Colleton Commission On Alcohol And Drug Abuse | |
|
1439 Thunderbolt Dr Walterboro SC 29488-9341 | |
| (843) 538-4343 | |
| (843) 538-7613 |
| Full Name | Colleton Commission On Alcohol And Drug Abuse |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1439 Thunderbolt Dr, Walterboro, South Carolina |
| Authorized Official Name and Position | Ronald L. Rickenbaker (DIRECTOR) |
| Authorized Official Contact | 8435384343 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colleton Commission On Alcohol And Drug Abuse Po Box 1037 Walterboro SC 29488-0031 Ph: (843) 538-4343 | Colleton Commission On Alcohol And Drug Abuse 1439 Thunderbolt Dr Walterboro SC 29488-9341 Ph: (843) 538-4343 |
| NPI Number | 1962400325 |
|---|---|
| Provider Enumeration Date | 07/11/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962400325 | NPI | - | NPPES |
| AD33CL | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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