| Circle Park Behavioral Health Services | |
|
601 Gregg Avenue Florence SC 29501 | |
| (843) 665-3928 | |
| (843) 667-1615 |
| Full Name | Circle Park Behavioral Health Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 601 Gregg Avenue, Florence, South Carolina |
| Authorized Official Name and Position | Randall Craig Cole (CEO) |
| Authorized Official Contact | 8436659349 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Circle Park Behavioral Health Services Po Box 6196 Florence SC 29502 Ph: (843) 665-3929 | Circle Park Behavioral Health Services 601 Gregg Avenue Florence SC 29501 Ph: (843) 665-3928 |
| NPI Number | 1447583984 |
|---|---|
| Provider Enumeration Date | 09/16/2009 |
| Last Update Date | 11/06/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447583984 | NPI | - | NPPES |
| AD04FL | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 101Y00000X (South Carolina) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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