| South Carolina Dept Of Mental Health Accounting Office | |
|
1135 Gregg Hwy Aiken SC 29801-6341 | |
| (803) 641-7700 | |
| (803) 641-7709 |
| Full Name | South Carolina Dept Of Mental Health Accounting Office |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1135 Gregg Hwy, Aiken, South Carolina |
| Authorized Official Name and Position | Tracy L Turner (CONTROLLER) |
| Authorized Official Contact | 8038988503 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Carolina Dept Of Mental Health Accounting Office 1135 Gregg Hwy Aiken SC 29801-6341 Ph: (803) 641-7700 | South Carolina Dept Of Mental Health Accounting Office 1135 Gregg Hwy Aiken SC 29801-6341 Ph: (803) 641-7700 |
| NPI Number | 1316904857 |
|---|---|
| Provider Enumeration Date | 04/27/2006 |
| Last Update Date | 11/04/2020 |
| Certification Date | 11/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316904857 | NPI | - | NPPES |
| 101924 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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