NPI 1225290109

Ichep,llc

Organisation Psychiatric Hospital Columbia, SC

Practice location

Address: 3555 Harden Street Ext Ext., Suite B18, Columbia, SC 29203-6894
Phone: (803) 477-7928
Mailing address: 108 Caughman Ridge Rd, Columbia, SC 29208-0001

Authorised official

Name: Shaka Abdul Moustafa
Title: Ceo
Phone: (803) 477-7928

Registered specialties

Psychiatric Hospital Primary

Hospitals Taxonomy 283Q00000X Licence 20083300132079 (SC)

Other Psychiatric Hospital providers in South Carolina →

Registry record

NPI: 1225290109
Entity type: Organization
NPI issued: 1 Jul 2008
Record last updated: 1 Jul 2008

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.