Whalio Doctors

NPI 1174903009

Lions Den Recreation Center, the

Organisation Substance Abuse Rehabilitation Facility North Charleston, SC

Practice location

Address
4159 Dorchester Rd Suite B, North Charleston, SC 29405-7426
Phone
(843) 718-3064
Fax
(843) 718-3064
Mailing address
4159 Dorchester Rd Suite B, North Charleston, SC 29405

Authorised official

Name
H. Craig Jackson
Title
Director of Rehabilitation Services
Phone
(843) 819-9470

Registered specialties (5)

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X Licence 981 (SC)
Legal Medicine
Other Service Providers Taxonomy 173000000X Licence 981 (SC)
Voluntary or Charitable Agency
Agencies Taxonomy 251V00000X Licence 981 (SC)
Substance Use Disorder Rehabilitation Hospital Unit
Hospital Units Taxonomy 276400000X Licence 981 (SC)
Clinical Medical Laboratory
Laboratories Taxonomy 291U00000X Licence 981 (SC)

Registry record

NPI
1174903009
Entity type
Organization
NPI issued
5 Jun 2015
Record last updated
5 Jun 2015

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.