| Spring Branch Residential Treatment Center | |
|
370 W Sellers Rd Marion SC 29571-6093 | |
| (843) 423-7876 | |
| (843) 423-8273 |
| Full Name | Spring Branch Residential Treatment Center |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 370 W Sellers Rd, Marion, South Carolina |
| Authorized Official Name and Position | William T. O'connor (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8434238292 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spring Branch Residential Treatment Center Po Box 1011 Marion SC 29571-1011 Ph: (843) 423-7876 | Spring Branch Residential Treatment Center 370 W Sellers Rd Marion SC 29571-6093 Ph: (843) 423-7876 |
| NPI Number | 1780744706 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 05/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780744706 | NPI | - | NPPES |
| AD20MD | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | ITP-005 (South Carolina) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | ITP-005 (South Carolina) | Primary |
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