Driftwood Evaluation Center, Llc

LBN: Driftwood Evaluation Center, Llc
Driftwood Evaluation Center, Llc is an health care organization with primary practice located at 1815 Bacons Bridge Rd Apt B12 , Summerville SC 29485-3258. The organization recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as the primary health care specialty. Driftwood Evaluation Center, Llc can be contacted via phone (843) 209-7832, or through Preston, Andrew via phone (843) 376-3112.

Contact Information

Primary practice address
1815 Bacons Bridge Rd Apt B12 Summerville SC 29485-3258
Phone: (843) 209-7832
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Preston, Andrew PHD
Phone: (843) 376-3112

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X

Profile Details

NPI number 1669135125
LBN Legal business name Driftwood Evaluation Center, Llc
DBA Doing business as
Authorized official Preston, Andrew PHD
Entity Organization
Organization subpart 1 No
Enumeration date Oct 20th, 2021
Last updated Jan 2nd, 2023 - about 3 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 1669135125 NPPES
South Carolina MEDICAID PG0662
South Carolina MEDICAID LP1002

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