NPI 1003128182

Pinelands Group Home

Organisation Community/Behavioral Health Agency Summerville, SC

Practice location

Address: 201 E Luke Ave, Summerville, SC 29483-6834
Phone: (843) 851-0079
Fax: (843) 873-1002

Authorised official

Name: Joette Kizer
Title: Ceo
Phone: (843) 851-0079

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence SR0008195001CC1 (SC)

Other Community/Behavioral Health providers in South Carolina →

Registry record

NPI: 1003128182
Entity type: Organization
NPI issued: 6 Jul 2010
Record last updated: 6 Jul 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.