Provider Demographics
NPI:1255505657
Name:CHARIS COMMUNITY DEVELOPMENT CORPORATION, INC.
Entity Type:Organization
Organization Name:CHARIS COMMUNITY DEVELOPMENT CORPORATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:L
Authorized Official - Last Name:ESKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-397-3564
Mailing Address - Street 1:2700 BUSH RIVER RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29210-5645
Mailing Address - Country:US
Mailing Address - Phone:803-798-4488
Mailing Address - Fax:803-798-0244
Practice Address - Street 1:2700 BUSH RIVER RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29210-5645
Practice Address - Country:US
Practice Address - Phone:803-798-4488
Practice Address - Fax:803-798-0244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-16
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare