Provider Demographics
NPI:1235592072
Name:DODABABY INC
Entity Type:Organization
Organization Name:DODABABY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:JOHNSTON
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINSTARATOR
Authorized Official - Phone:843-696-0819
Mailing Address - Street 1:1775 COMMISSARY ST
Mailing Address - Street 2:
Mailing Address - City:N CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29405-1905
Mailing Address - Country:US
Mailing Address - Phone:843-637-3090
Mailing Address - Fax:843-737-4108
Practice Address - Street 1:1775 COMMISSARY ST
Practice Address - Street 2:
Practice Address - City:N CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29405-1905
Practice Address - Country:US
Practice Address - Phone:843-637-3090
Practice Address - Fax:843-737-4108
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SOUTHERN SISTERS1
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-03-30
Last Update Date:2016-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness