Jayreese Therapeutic Services | |
22 Old Polowana Road St. Helena Island SC 29920-1583 | |
(843) 838-3295 | |
(843) 838-4766 |
Full Name | Jayreese Therapeutic Services |
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Speciality | Community/behavioral Health |
Location | 22 Old Polowana Road, St. Helena Island, South Carolina |
Authorized Official Name and Position | Dora D. James (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 8438383295 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jayreese Therapeutic Services Po Box 1583 Saint Helena Island SC 29920-1583 Ph: (843) 838-3295 | Jayreese Therapeutic Services 22 Old Polowana Road St. Helena Island SC 29920-1583 Ph: (843) 838-3295 |
NPI Number | 1578634572 |
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Provider Enumeration Date | 11/13/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578634572 | NPI | - | NPPES |
CBT012 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |