Organization Name: | PICKENS COUNTY COMMISSION ON ALCOHOL & DRUG ABUSE |
NPI Number: | 1134127475 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANGELA A. ELLENBURG (DIRECTOR, FINANCIAL & ADMINISTRATIV) |
Mailing Address: | 309 E Main St Pickens |
State: | SC US |
Postal Code: | 296712319 |
Phone Number: | 8648985800 |
Fax Number: | 8648985804 |
NPI Enumeration Date: | 07/11/2005 |
NPI Last Update Date: | 01/09/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | OTP-056 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |