Chesterfield Marlboro LP

NPI #1780657528 in Bennettsville, South Carolina

Provider Information

NPI Number
1780657528
Entity Type
Organization
Organization Name
Chesterfield Marlboro LP
Subpart
Yes (part of a larger organization)
Parent Organization
CHESTERFIELD MARLBORO LP
Primary Specialty
Psychiatric Unit
Enumeration Date
Feb 10, 2006
Last Updated
May 14, 2014

Practice Location

Address
1138 CHERAW ST
ZIP Code
29512-2466
Phone
(843) 479-2881

Authorized Official

Name
LAURIE HOLTSFORD
Title
AUTHORIZED OFFICIAL
Phone
(615) 465-7466

Specialties & Taxonomy Codes

Specialty
Psychiatric Unit

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