Organization · Type 2 NPI
Hammocks On the Edisto LLC
Substance Abuse Rehabilitation Facility · Jacksonboro, SC
NPI number
1861045767
Active
Practice location
2137 Hope Plantation Lane
Jacksonboro, SC 29452
Mailing address
PO Box 130
Jacksonboro, SC 29452-0130
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Psychiatry Physician | 2084P0802X | None listed |
| Substance Abuse Rehabilitation Facility Primary | 324500000X | None listed |
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.
About NPI 1861045767
Hammocks On the Edisto LLC's National Provider Identifier is 1861045767, issued on Jul 19, 2019. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Jacksonboro, SC. The record was last updated on Dec 16, 2020.