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NPI Code Detail

MEDICARE: LANCASTER COUNTY COMMISSION ON ALCOHOL AND DRUG ABUSE

MEDICARE: LANCASTER COUNTY COMMISSION ON ALCOHOL AND DRUG ABUSE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR0405XSubstance Use Disorder Rehabilitation Clinic/CenterOTP-0032SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1720014988
Entity Type Code : Organization
Provider Name (Legal Business Name) : LANCASTER COUNTY COMMISSION ON ALCOHOL AND DRUG ABUSE
Provider Business Mailing Address
First Line : 114 S MAIN ST
Second Line :
City : LANCASTER
State : SC
Zip : 29720-2442
Country : US
Telephone Number : 803-285-6911
Fax Number : 803-286-6697
Provider Business Practice Location Address
First Line : 114 S MAIN ST
Second Line :
City : LANCASTER
State : SC
Zip : 29720-2442
Country : US
Telephone Number : 803-285-6911
Fax Number : 803-286-6697
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. WALTER J. QUINN
Credential :
Telephone Number : 803-285-6911
Provider Enumeration Date : 06/22/2006
Last Update Date : 06/08/2011

Similar Medicare Providers

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Practice Location Address:
114 S MAIN ST
LANCASTER, SC
29720-2442
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Practice Fax:
1013202753 — MS. ROBIN DALE CATOE LPC, CACI, NBCC
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1386982387 — MS. JANICE P VAUGHN BS,NCACII
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1225376205 — MRS. CATHY BARNES LLOYD ED.S, NCACII
Practice Location Address:
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LANCASTER, SC
29720-2442
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Practice Fax: 803-286-2997
1578801452 — MS. MARTHA ANN GLINTON CACLL
Practice Location Address:
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1427396274 — MRS. AMY B BUNDY NCACI, SAP, LBSW
Practice Location Address:
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29720-2442
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Practice Fax: 803-286-6697

Directions to “LANCASTER COUNTY COMMISSION ON ALCOHOL AND DRUG ABUSE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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