NPI 1750703815

Dorchester County Disabilities and Special Needs Board

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Summerville, SC

Practice location

Address: 2717 W 5th North St, Summerville, SC 29483-9605
Phone: (843) 871-1285
Fax: (843) 871-2929

Authorised official

Name: Celeste Richardson
Title: Executive Director
Phone: (843) 871-1285

Registered specialties (4)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

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Case Management Agency

Agencies Taxonomy 251B00000X

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Developmentally Disabled Services Day Training Agency

Agencies Taxonomy 251C00000X

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Early Intervention Provider Agency

Agencies Taxonomy 252Y00000X

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Registry record

NPI: 1750703815
Entity type: Organization
NPI issued: 9 Jan 2014
Record last updated: 9 Jan 2014

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.