Center Of Change is a Clinical in Camden, South Carolina. Center Of Change practices all healthcare services and medical treatments related to Clinical. The NPI Number for Center Of Change is 1417028374. The last update date is 2008-06-11.
Center Of Change's current location address is 2039 W Dekalb St, Camden, South Carolina. You can contact this provider via phone number 8034325200 and fax number 8034325199. The mailing address for Center Of Change is 2039 W Dekalb St, Camden, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Center Of Change |
|---|---|
| Address | 2039 W Dekalb St, Camden, South Carolina |
| Phone Number | 8034325200 |
| Fax Number | 8034325199 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Hornsby Jenerette Nancy |
| Credentials | MS, LBSW |
| Telephone Number | 8034325200 |
NPI Number Detail
| NPI Number | 1417028374 |
|---|---|
| Provider Enumeration Date | 2006-11-13 |
| Last Updated Date | 2008-06-11 |
Provider Mailing Address Detail
| Address | 2039 W Dekalb St |
|---|---|
| City | Camden |
| State | South Carolina (SC) |
| Post Code | 290202092 |
| Phone Number | 8034325200 |
| Fax Number | 8034325199 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 8724 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GP4217 | SC | -- |
Post Comment/ Review Below
What is the Center Of Change's unique identification number?
The Center Of Change has been assigned the NPI (National Provider Identifier) Number 1417028374 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Center Of Change?
The Center Of Change is situated at 2039 W Dekalb St, in the city of Camden, state of SC, with the zip code 290202092.
What is Center Of Change's specialized field of practice, and what is the corresponding taxonomy classification code?
The Center Of Change's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Center Of Change receive the assignment of its 1417028374 from the Centers for Medicare & Medicaid Services?
The Center Of Change was issued its 1417028374 by the Centers for Medicare & Medicaid Services on 2006-11-13.
When was the Center Of Change's information last updated?
The Center Of Change's information was last updated on 2008-06-11.