| The Hazel Pittman Center | |
|
130 Hudson St Chester SC 29706-1524 | |
| (803) 377-8111 | |
| (803) 581-5380 |
| Full Name | The Hazel Pittman Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 130 Hudson St, Chester, South Carolina |
| Authorized Official Name and Position | Maria T Bates (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8033778111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Hazel Pittman Center 130 Hudson St Chester SC 29706-1524 Ph: (803) 377-8111 | The Hazel Pittman Center 130 Hudson St Chester SC 29706-1524 Ph: (803) 377-8111 |
| NPI Number | 1831525138 |
|---|---|
| Provider Enumeration Date | 09/18/2013 |
| Last Update Date | 09/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831525138 | NPI | - | NPPES |
| AD23CS | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | () | Primary |
The Hazel Pittman Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 Hudson St, Chester, SC 29706 Phone: 803-377-8111 Fax: 803-581-5380 |
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