Lions Den Recreation Center, the

NPI #1174903009 in North Charleston, South Carolina

Provider Information

NPI Number
1174903009
Entity Type
Organization
Organization Name
Lions Den Recreation Center, the
Primary Specialty
Substance Abuse Rehabilitation Facility
Enumeration Date
Jun 5, 2015
Last Updated
Jun 5, 2015

Practice Location

Address
4159 DORCHESTER RD
Address 2
SUITE B
ZIP Code
29405-7426
Phone
(843) 718-3064

Authorized Official

Name
H. CRAIG JACKSON, COTA/L
Title
DIRECTOR OF REHABILITATION SERVICES
Phone
(843) 819-9470

Specialties & Taxonomy Codes

Specialty
Legal Medicine
Voluntary or Charitable
Rehabilitation, Substance Use Disorder Unit
Clinical Medical Laboratory
Substance Abuse Rehabilitation Facility

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