| Mookies Place Youth And Family Program | |
|
501 W Meeting St Lancaster SC 29720-2323 | |
| (803) 285-8589 | |
| (704) 919-5055 |
| Full Name | Mookies Place Youth And Family Program |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 501 W Meeting St, Lancaster, South Carolina |
| Authorized Official Name and Position | Letisha Lynn Smalls (PRESIDENT) |
| Authorized Official Contact | 8032858589 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mookies Place Youth And Family Program Po Box 1244 Lancaster SC 29721-1244 Ph: (803) 285-8589 | Mookies Place Youth And Family Program 501 W Meeting St Lancaster SC 29720-2323 Ph: (803) 285-8589 |
| NPI Number | 1285110957 |
|---|---|
| Provider Enumeration Date | 07/16/2018 |
| Last Update Date | 03/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285110957 | NPI | - | NPPES |
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