Kershaw County Teen Health Promotion Coalition | |
110 E Dekalb St Camden SC 29020-4432 | |
(803) 425-1892 | |
Not Available |
Full Name | Kershaw County Teen Health Promotion Coalition |
---|---|
Speciality | Community/behavioral Health |
Location | 110 E Dekalb St, Camden, South Carolina |
Authorized Official Name and Position | Juanita Mendenhall (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 8034251892 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kershaw County Teen Health Promotion Coalition Po Box 626 Camden SC 29020-0626 Ph: (803) 425-1892 | Kershaw County Teen Health Promotion Coalition 110 E Dekalb St Camden SC 29020-4432 Ph: (803) 425-1892 |
NPI Number | 1801925029 |
---|---|
Provider Enumeration Date | 03/05/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801925029 | NPI | - | NPPES |
MC0068 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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