| The Ernest E Kennedy Center | |
|
306 Airport Dr Moncks Corner SC 29461-2629 | |
| (843) 797-7871 | |
| (843) 797-8638 |
| Full Name | The Ernest E Kennedy Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 306 Airport Dr, Moncks Corner, South Carolina |
| Authorized Official Name and Position | Mari Richardson Bolden (CLINICAL COUNSELOR III) |
| Authorized Official Contact | 8437977871 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Ernest E Kennedy Center 306 Airport Dr Moncks Corner SC 29461-2629 Ph: (843) 797-7871 | The Ernest E Kennedy Center 306 Airport Dr Moncks Corner SC 29461-2629 Ph: (843) 797-7871 |
| NPI Number | 1326251513 |
|---|---|
| Provider Enumeration Date | 05/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326251513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1884 (South Carolina) | Primary |
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