Circle Park Behavioral Health Services

LBN: Florence County Commission On Alcohol And Dru
Circle Park Behavioral Health Services is an health care organization with primary practice located at 601 Greg Avenue , Florence SC 29501. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty. Florence County Commission On Alcohol And Dru can be contacted via phone (843) 665-3928, or through Terrell, William Russell via phone (843) 665-9349.

Contact Information

Primary practice address
601 Greg Avenue Florence SC 29501
Phone: (843) 665-3928
Fax: (843) 667-1615
Website:
Map and Directions
Authorized official contact:
Name: Terrell, William Russell
Phone: (843) 665-9349

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1114922283
LBN Legal business name Florence County Commission On Alcohol And Dru
DBA Doing business as Circle Park Behavioral Health Services
Authorized official Terrell, William Russell
Entity Organization
Organization subpart 1 No
Enumeration date Jun 16th, 2005
Last updated Nov 6th, 2009 - 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 1114922283 NPPES
South Carolina MEDICAID AD04FL

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