| Pee Dee Mental Health Center | |
|
675 N Matthews Rd Lake City SC 29560-7027 | |
| (843) 394-7600 | |
| Not Available |
| Full Name | Pee Dee Mental Health Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 675 N Matthews Rd, Lake City, South Carolina |
| Authorized Official Name and Position | Cedric Jevon Evans (HUMAN SERVICES SPECIALIST I) |
| Authorized Official Contact | 8433947600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pee Dee Mental Health Center 125 E Cheves St Florence SC 29506-2526 Ph: (843) 317-4089 | Pee Dee Mental Health Center 675 N Matthews Rd Lake City SC 29560-7027 Ph: (843) 394-7600 |
| NPI Number | 1174641666 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174641666 | NPI | - | NPPES |
| 376241 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Pee Dee Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 675 N Matthews Rd, Lake City, SC 29560 Phone: 843-394-7600 | |
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