| The Ernest E Kennedy Center | |
|
96 Wisteria Rd Goose Creek SC 29445-3495 | |
| (843) 797-7871 | |
| Not Available |
| Full Name | The Ernest E Kennedy Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 96 Wisteria Rd, Goose Creek, South Carolina |
| Authorized Official Name and Position | Porcher Washington (CLINICAL COUNSELOR) |
| Authorized Official Contact | 8437977871 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Ernest E Kennedy Center 96 Wisteria Rd Goose Creek SC 29445-3495 Ph: (843) 797-7871 | The Ernest E Kennedy Center 96 Wisteria Rd Goose Creek SC 29445-3495 Ph: (843) 797-7871 |
| NPI Number | 1639493828 |
|---|---|
| Provider Enumeration Date | 03/17/2010 |
| Last Update Date | 03/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639493828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (South Carolina) | Primary |
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