| Safe Harbor Behavioral Health Llc | |
|
302a Midland Pkwy Summerville SC 29485-8102 | |
| (843) 469-0935 | |
| (509) 479-4389 |
| Full Name | Safe Harbor Behavioral Health Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 302a Midland Pkwy, Summerville, South Carolina |
| Authorized Official Name and Position | Kimberly Reddout (OWNER, COUNSELOR) |
| Authorized Official Contact | 8434690935 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Safe Harbor Behavioral Health Llc 302a Midland Pkwy Summerville SC 29485-8102 Ph: () - | Safe Harbor Behavioral Health Llc 302a Midland Pkwy Summerville SC 29485-8102 Ph: (843) 469-0935 |
| NPI Number | 1790210169 |
|---|---|
| Provider Enumeration Date | 04/24/2017 |
| Last Update Date | 04/24/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790210169 | NPI | - | NPPES |
| PC1614 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6274 (South Carolina) | Primary |
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