Shoreline Behavioral Health Services, NPI 1629467022
Community/Behavioral Health Agency in Conway, SC, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1629467022 |
| NPI Entity Type | Organization |
| Provider Name | Shoreline Behavioral Health Services |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 2404 Wise Rd, Conway, SC, US |
| Provider Mailing Address | 2404 Wise Road, Conway, SC, US, 29528 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | ED John Coffin |
| Official Position | EXECUTIVE DIRECTOR |
| Phone | 843-365-8884 |
Group Taxonomy
| Taxonomy Code | 193400000X |
| Taxonomy Name | 193400000X SINGLE SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, all of who practice with the same area of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Community/Behavioral Health Agency |
| Classification | |
| Group | |
| License No. | 57-0741188 |
| License State | SC |
| Description | 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 disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| SC | No |
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