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2400 W Main St Rock Hill SC 29732-8968 | |
| (803) 327-6103 | |
| (803) 328-5443 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2400 W Main St, Rock Hill, South Carolina |
| Authorized Official Name and Position | Barbara J Johnson (OFFICE MANAGER) |
| Authorized Official Contact | 8033276103 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2400 W Main St Rock Hill SC 29732-8968 Ph: (803) 327-6103 | 2400 W Main St Rock Hill SC 29732-8968 Ph: (803) 327-6103 |
| NPI Number | 1902809924 |
|---|---|
| Provider Enumeration Date | 05/23/2005 |
| Last Update Date | 02/17/2020 |
| Certification Date | 02/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902809924 | NPI | - | NPPES |
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