| Options For Social Change, Llc | |
|
2145 Dorchester Rd N Charleston SC 29405-7763 | |
| (843) 343-4188 | |
| Not Available |
| Full Name | Options For Social Change, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2145 Dorchester Rd, N Charleston, South Carolina |
| Authorized Official Name and Position | Shirley Ford (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8433434188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Options For Social Change, Llc 2396 Erskine Ave Charleston SC 29414-7004 Ph: (843) 343-4188 | Options For Social Change, Llc 2145 Dorchester Rd N Charleston SC 29405-7763 Ph: (843) 343-4188 |
| NPI Number | 1255703575 |
|---|---|
| Provider Enumeration Date | 10/26/2015 |
| Last Update Date | 11/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255703575 | NPI | - | NPPES |
| K2T2J72GD2FM0DB | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | SC 1449 (South Carolina) | Primary |
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