NPI 1780968347

Counseling and Innovative Treatment Services

Organisation Preferred Provider Organization Columbia, SC

Practice location

Address: 2712 Middleburg Dr Suite 206, Columbia, SC 29204-2415
Phone: (803) 779-0169

Authorised official

Name: Deborah Jackson
Title: Ceo
Phone: (803) 779-0169

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 5286 (SC)

Other Preferred Provider Organization providers in South Carolina →

Registry record

NPI: 1780968347
Entity type: Organization
NPI issued: 30 Sep 2011
Record last updated: 31 Oct 2011

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.