Healthcare Provider Details

I. General information

NPI: 1861496234
Provider Name (Legal Business Name): CHARLESTON COUNTY GOVERNMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2005
Last Update Date: 09/11/2025
Certification Date: 03/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3685 RIVERS AVENUE SUITE 301
NORTH CHARLESTON SC
29405-7746
US

IV. Provider business mailing address

PO BOX 70289
NORTH CHARLESTON SC
29415-0289
US

V. Phone/Fax

Practice location:
  • Phone: 843-958-3300
  • Fax: 843-958-3498
Mailing address:
  • Phone: 843-958-3300
  • Fax: 843-958-3498

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License NumberITP 18
License Number StateSC

VIII. Authorized Official

Name: MR. WILLIAM TUTEN
Title or Position: COUNTY ADMINISTRATOR
Credential:
Phone: 843-958-4013