Center Of Change

LBN: Center Of Change
Center Of Change is an health care organization with primary practice located at 2039 W Dekalb St Building 1, Suite 2, Camden SC 29020-2092. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Center Of Change can be contacted via phone (803) 432-5200, or through Hornsby, Nancy Jenerette via phone (803) 432-5200.

Contact Information

Primary practice address
2039 W Dekalb St Building 1, Suite 2 Camden SC 29020-2092
Phone: (803) 432-5200
Fax: (803) 432-5199
Website:
Map and Directions
Authorized official contact:
Name: Hornsby, Nancy Jenerette MS, LBSW
Phone: (803) 432-5200

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 8724 South Carolina

Profile Details

NPI number 1417028374
LBN Legal business name Center Of Change
DBA Doing business as
Authorized official Hornsby, Nancy Jenerette MS, LBSW
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2006
Last updated Jun 11th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417028374 NPPES
South Carolina MEDICAID GP4217

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