Blueprint For Change in Port Royal - Community/behavioral Health
Blueprint For Change - NPI 1609052356
Blueprint For Change is a Community/behavioral Health in Port Royal, South Carolina. Blueprint For Change practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Blueprint For Change is 1609052356. The last update date is 2008-01-11.
Blueprint For Change's current location address is 1110 Paris Ave Ste A, Port Royal, South Carolina. You can contact this provider via phone number 8435246112 and fax number 8435246111. The mailing address for Blueprint For Change is 1110 Paris Ave Ste A, Port Royal, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Blueprint For Change |
|---|---|
| Address | 1110 Paris Ave Ste A, Port Royal, South Carolina |
| Phone Number | 8435246112 |
| Fax Number | 8435246111 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Tabor Singleton Julie |
| Credentials | CACII, LIC |
| Telephone Number | 8435246112 |
NPI Number Detail
| NPI Number | 1609052356 |
|---|---|
| Provider Enumeration Date | 2008-01-11 |
| Last Updated Date | 2008-01-11 |
Provider Mailing Address Detail
| Address | 1110 Paris Ave Ste A |
|---|---|
| City | Port Royal |
| State | South Carolina (SC) |
| Post Code | 299352322 |
| Phone Number | 8435246112 |
| Fax Number | 8435246111 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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Post Comment/ Review Below
What is the Blueprint For Change's 1609052356?
The Blueprint For Change's NPI (National Provider Identifier) Number is 1609052356. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Blueprint For Change?
The Blueprint For Change is situated at 1110 Paris Ave Ste A, in the city of Port Royal, state of SC, with the zip code 299352322.
What is the area of specialization for Blueprint For Change, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Blueprint For Change is Community/behavioral Health, and the corresponding taxonomy code that categorizes this area of expertise is 251S00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1609052356 to Blueprint For Change?
The Centers for Medicare & Medicaid Services originally issued the 1609052356 to Blueprint For Change on 2008-01-11.
As of what date were the Blueprint For Change's details last updated?
The information pertaining to the Blueprint For Change, including its address, specialty, and other details, was most recently updated on 2008-01-11.