Organization · Type 2 NPI

South Carolina Dept of Mental Health Accounting Office

Substance Abuse Rehabilitation Facility · Columbia, SC

NPI number 1295787869 Active

Practice location

610 Faison Dr
Columbia, SC 29203-3218

Call (803) 898-8405 Map

Fax (803) 898-8526

Mailing address

PO Box 485
Columbia, SC 29202-0485

Specialties and licenses

Taxonomy	Code	License
Substance Abuse Rehabilitation Facility Primary	324500000X	HTL-516 (SC)

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

6 other providers at this address

Other substance abuse rehabilitation facility providers in Columbia

See all in Columbia →

NPI record

NPI: 1295787869
Entity type: Organization (Type 2)
Issued: May 16, 2006
Last updated: Sep 20, 2019
Status: Active
Subpart: Yes of South Carolina Dept of Mental Health

Other names

<unavail>
Earle E Morris JR Alcohol & Drug Addiction Treatment Center · doing business as
Earle E Morris JR Alcohol & Drug Addiction Treatment Center · doing business as

Authorized official

Versie J Bellamy
Deputy Director
(803) 935-5761

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1295787869

South Carolina Dept of Mental Health Accounting Office's National Provider Identifier is 1295787869, issued on May 16, 2006. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Columbia, SC. The record was last updated on Sep 20, 2019.