NPI 1215177076

Whitaker's Cch

Organisation Mental Illness Community Based Residential Treatment Facility Columbia, SC

Practice location

Address: 79 Sal Sue Court, Columbia, SC 29203
Phone: (803) 786-8561
Fax: (803) 714-1987
Mailing address: 79 Sal Sue, Coumbia, SC 29203

Authorised official

Name: Valencia W Anderson
Title: Administrator
Phone: (803) 786-8561

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence 107C92 (SC)

Other Community Based Residential Treatment Facility, Mental Illness providers in South Carolina →

Registry record

NPI: 1215177076
Entity type: Organization
NPI issued: 5 Mar 2009
Record last updated: 5 Mar 2009

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.