NPI 1487291506
Department of Mental Health
Practice location
- Address
- 2414 Bull St, Columbia, SC 29201-1906
- Phone
- (803) 898-8581
- Mailing address
- 436 Coral Rose Dr, Irmo, SC 29063-7503
Authorised official
- Name
- Sadatreya Tanesha Moultrie
- Title
- Transition Specialist
- Phone
- (912) 536-6454
Registered specialties
Lodging Provider
Primary
Registry record
- NPI
- 1487291506
- Entity type
- Organization
- NPI issued
- 9 Dec 2019
- Record last updated
- 9 Dec 2019
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.