Organization · Type 2 NPI

South Carolina Dept of Mental Health Accounting Office

Mental Health Clinic/Center (Including Community Mental Health Center) · Conway, SC

NPI number 1356397228 Active

Practice location

164 Waccamaw Medical Park Dr
Conway, SC 29526-8903

Call (843) 347-5060 Map

Fax (843) 347-3959

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1356397228

South Carolina Dept of Mental Health Accounting Office's National Provider Identifier is 1356397228, issued on May 25, 2006. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Conway, SC. The record was last updated on Sep 20, 2019.