Pee Dee Mental Health Center

LBN: Pee Dee Mental Health Center
Pee Dee Mental Health Center is an health care organization with primary practice located at 675 N Matthews Rd , Lake City SC 29560-7027. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Pee Dee Mental Health Center can be contacted via phone (843) 394-7600, or through Evans, Cedric Jevon via phone (843) 394-7600.

Contact Information

Primary practice address
675 N Matthews Rd Lake City SC 29560-7027
Phone: (843) 394-7600
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Evans, Cedric Jevon Bachelor of Social Work (BSW)
Phone: (843) 394-7600

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1174641666
LBN Legal business name Pee Dee Mental Health Center
DBA Doing business as
Authorized official Evans, Cedric Jevon Bachelor of Social Work (BSW)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 26th, 2007
Last updated Aug 22nd, 2020 - about 5 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 1174641666 NPPES
South Carolina MEDICAID 376241

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