Healthcare Provider Details

I. General information

NPI: 1043215569
Provider Name (Legal Business Name): SUMTER COUNTY COMMISSION ON ALCOHOL AND DRUG ABUSE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2005
Last Update Date: 04/25/2025
Certification Date: 04/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

755 ELECTRIC DR
SUMTER SC
29153-1933
US

IV. Provider business mailing address

755 ELECTRIC DR
SUMTER SC
29153-1933
US

V. Phone/Fax

Practice location:
  • Phone: 803-905-5100
  • Fax: 803-905-5171
Mailing address:
  • Phone: 803-905-5100
  • Fax: 803-905-5171

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. SARAH CAMPBELL
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 803-905-5100