| Pee Dee Mental Health | |
|
675 N Matthews Rd Lake City SC 29560-7027 | |
| (843) 394-7600 | |
| Not Available |
| Full Name | Pee Dee Mental Health |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 675 N Matthews Rd, Lake City, South Carolina |
| Authorized Official Name and Position | Robin Windham (AR SUPERVISOR) |
| Authorized Official Contact | 8436292483 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pee Dee Mental Health 4 Jessamine St Andrews SC 29510-4414 Ph: () - | Pee Dee Mental Health 675 N Matthews Rd Lake City SC 29560-7027 Ph: (843) 394-7600 |
| NPI Number | 1043636046 |
|---|---|
| Provider Enumeration Date | 03/14/2014 |
| Last Update Date | 03/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043636046 | NPI | - | NPPES |
| 376241 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Pee Dee Mental Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 675 N Matthews Rd, Lake City, SC 29560 Phone: 843-394-7600 | |
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