Healthcare Provider Details

I. General information

NPI: 1134190101
Provider Name (Legal Business Name): FLORENCE CRITTENTON PROGRAMS OF SC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 SAINT MARGARET ST
CHARLESTON SC
29403-3612
US

IV. Provider business mailing address

19 SAINT MARGARET ST
CHARLESTON SC
29403-3612
US

V. Phone/Fax

Practice location:
  • Phone: 843-722-7526
  • Fax:
Mailing address:
  • Phone: 843-722-7526
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State

VIII. Authorized Official

Name: ANDREA THOMAS
Title or Position: EXECUTIVE DIRECTOR
Credential: LISW, CP
Phone: 843-722-7526