| Recovery Behavioral Healthcare, Llc | |
|
416 West Blvd Ste 4 Chesterfield SC 29709-1507 | |
| (910) 273-9956 | |
| Not Available |
| Full Name | Recovery Behavioral Healthcare, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 416 West Blvd Ste 4, Chesterfield, South Carolina |
| Authorized Official Name and Position | Bianco D Holmon (CO-OWNER/OPERATOR) |
| Authorized Official Contact | 9102739956 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Recovery Behavioral Healthcare, Llc Po Box 542 Hope Mills NC 28348-0542 Ph: (910) 273-9956 | Recovery Behavioral Healthcare, Llc 416 West Blvd Ste 4 Chesterfield SC 29709-1507 Ph: (910) 273-9956 |
| NPI Number | 1720475932 |
|---|---|
| Provider Enumeration Date | 04/25/2015 |
| Last Update Date | 05/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720475932 | NPI | - | NPPES |
| GP7002 | Medicaid | SC | |
| GP7267 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Chesterfield County Djj Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Main St, Chesterfield, SC 29709 Phone: 843-623-2378 |