Justice Works Behavioral Care | |
200 Elm St Suite 1 Conway SC 29526-5118 | |
(843) 359-7538 | |
(843) 488-1616 |
Full Name | Justice Works Behavioral Care |
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Speciality | Social Worker - Clinical |
Location | 200 Elm St, Conway, South Carolina |
Authorized Official Name and Position | Richard Charles Christian (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 8434881615 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Justice Works Behavioral Care 200 Elm St Suite 1 Conway SC 29526-5118 Ph: (843) 359-7538 | Justice Works Behavioral Care 200 Elm St Suite 1 Conway SC 29526-5118 Ph: (843) 359-7538 |
NPI Number | 1427392026 |
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Provider Enumeration Date | 11/20/2012 |
Last Update Date | 11/20/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427392026 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
251S00000X | Community/behavioral Health | DO NOT HAVE ONE (South Carolina) | Secondary |
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