Provider Demographics
NPI:1164776894
Name:OFFICE OF THE GOVERNOR CONTINUUM OF CARE
Entity Type:Organization
Organization Name:OFFICE OF THE GOVERNOR CONTINUUM OF CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SHELLEY
Authorized Official - Middle Name:A
Authorized Official - Last Name:MCGEORGE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD,MPA,LPC/S,LMFT
Authorized Official - Phone:803-734-4531
Mailing Address - Street 1:1205 PENDLETON ST
Mailing Address - Street 2:SUITE 372
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29201-3756
Mailing Address - Country:US
Mailing Address - Phone:803-734-4500
Mailing Address - Fax:803-734-4538
Practice Address - Street 1:2120 JODY RD
Practice Address - Street 2:SUITE E
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-2008
Practice Address - Country:US
Practice Address - Phone:843-317-4021
Practice Address - Fax:803-317-4018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-02
Last Update Date:2012-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management