NPI | 1487665055 |
---|---|
Former Legal Business Name | FAIRFIELD COUNTY SUBSTANCE ABUSE COMMISSION |
Entity Type | Organization |
Authorized Contact | VERNON LAMONT KENNEDY Executive Director 803-635-2335 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
Enumeration Date | 2006-08-10 |
Last Update Date | 2018-11-16 |