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CHESTER COUNTY COMMISION ON ALCOHOL AND DRUG ABUSE

Addiction Substance Use Disorder

Chester, South Carolina

Provider NPI: 1154329308

Organization Information:
Organization Name:  CHESTER COUNTY COMMISION ON ALCOHOL AND DRUG ABUSE
Organization is not Subpart
Authorized Official:  MARIA T BATES  EXECUTIVE DIRECTOR  803-3778111

Practice Location:
130 HUDSON ST  CHESTER, SC 29706 US
Tel: 803-377-8111  Fax: 803-581-5380

Business Mailing Address:
130 HUDSON ST  CHESTER, SC 29706 US
Tel: 803-377-8111  Fax: 803-581-5380

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
N101YM0800XBehavioral Health & Social Service Providers
Counselor
N101YP2500XBehavioral Health & Social Service Providers
Counselor
Y261QR0405XAmbulatory Health Care Facilities
Clinic/Center

Other Provider Identifiers:

IssuerNumberStateType
AD23CSSC05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







ADDICTION JOBS SC - Page 1



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