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2900 Sunset Blvd West Columbia SC 29169-3422 | |
| (803) 796-9911 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychiatric Residential Treatment Facility |
| Location | 2900 Sunset Blvd, West Columbia, South Carolina |
| Authorized Official Name and Position | Steve Filton (SRVP CFO) |
| Authorized Official Contact | 6107383300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2900 Sunset Blvd West Columbia SC 29169-3422 Ph: (803) 796-9911 | 2900 Sunset Blvd West Columbia SC 29169-3422 Ph: (803) 796-9911 |
| NPI Number | 1073509055 |
|---|---|
| Provider Enumeration Date | 09/23/2005 |
| Last Update Date | 02/25/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073509055 | NPI | - | NPPES |
| RTF023 | Medicaid | SC |
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