Provider Demographics
NPI:1366488314
Name:PALMETTO HEALTH RICHLAND
Entity Type:Organization
Organization Name:PALMETTO HEALTH RICHLAND
Other - Org Name:ADDICTIONS RECOVERY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:CHESNO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:803-296-5001
Mailing Address - Street 1:3250 HARDEN STREET EXT
Mailing Address - Street 2:SUITE 200
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29203-6800
Mailing Address - Country:US
Mailing Address - Phone:803-434-1352
Mailing Address - Fax:803-434-1355
Practice Address - Street 1:3250 HARDEN STREET EXT
Practice Address - Street 2:SUITE 200
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29203-6800
Practice Address - Country:US
Practice Address - Phone:803-434-1352
Practice Address - Fax:803-434-1355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC0TP-050261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center