Earle E Morris Jr Alcohol & Drug Addiction Treatment Center

LBN: South Carolina Dept Of Mental Health Accounting Office
Earle E Morris Jr Alcohol & Drug Addiction Treatment Center is an health care organization with primary practice located at 610 Faison Dr , Columbia SC 29203-3218. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. South Carolina Dept Of Mental Health Accounting Office can be contacted via phone (803) 898-8405, or through Bellamy, Versie J via phone (803) 935-5761.

Contact Information

Primary practice address
610 Faison Dr Columbia SC 29203-3218
Fax: (803) 898-8526
Website:
Authorized official contact:
Name: Bellamy, Versie J

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X HTL-516 South Carolina

Profile Details

NPI number 1295787869
LBN Legal business name South Carolina Dept Of Mental Health Accounting Office
DBA Doing business as Earle E Morris Jr Alcohol & Drug Addiction Treatment Center
Authorized official Bellamy, Versie J
Entity Organization
Organization subpart 1 Yes
Enumeration date May 16th, 2006
Last updated Sep 20th, 2019 - 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 1295787869 NPPES
South Carolina MEDICAID GP1799

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