Healthcare Provider Details

I. General information

NPI: 1467485144
Provider Name (Legal Business Name): ABS LINCS SC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2006
Last Update Date: 05/02/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 MIDLAND PARKWAY
SUMMERVILLE SC
29485
US

IV. Provider business mailing address

225 MIDLAND PARKWAY
SUMMERVILLE SC
29485
US

V. Phone/Fax

Practice location:
  • Phone: 843-851-5015
  • Fax: 843-851-5029
Mailing address:
  • Phone: 843-851-5015
  • Fax: 843-851-5029

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License NumberRTF017
License Number StateSC

VIII. Authorized Official

Name: STEVE FILTON
Title or Position: SRVP CFO
Credential:
Phone: 610-768-3300