Shoreline Behavioral Health Services
NPI #1629467022 in Conway, South Carolina
Provider Information
- NPI Number
- 1629467022
- Entity Type
- Organization
- Organization Name
- Shoreline Behavioral Health Services
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jan 22, 2015
- Last Updated
- Jan 22, 2015
Practice Location
- Address
- 2404 WISE RD
- City
- Conway
- State
- South Carolina
- ZIP Code
- 29526-5521
- Phone
- (843) 365-8884
Authorized Official
- Name
- JOHN COFFIN, ED
- Title
- EXECUTIVE DIRECTOR
- Phone
- (843) 365-8884
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
| Community/Behavioral Health |
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| Sc Department of Juvenile Justice | |
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