| William J. Mccord Adolescent Treatment Facility | |
|
910 Cook Rd Orangeburg SC 29118-2124 | |
| (803) 534-2328 | |
| Not Available |
| Full Name | William J. Mccord Adolescent Treatment Facility |
|---|---|
| Speciality | Counselor |
| Location | 910 Cook Rd, Orangeburg, South Carolina |
| Authorized Official Name and Position | Mike Dennis (DIRECTOR) |
| Authorized Official Contact | 8035342328 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| William J. Mccord Adolescent Treatment Facility 416 Meadowlake Dr Columbia SC 29203-2418 Ph: (803) 606-9783 | William J. Mccord Adolescent Treatment Facility 910 Cook Rd Orangeburg SC 29118-2124 Ph: (803) 534-2328 |
| NPI Number | 1124764568 |
|---|---|
| Provider Enumeration Date | 05/09/2022 |
| Last Update Date | 05/09/2022 |
| Certification Date | 05/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124764568 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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