Provider Demographics
NPI: | 1366844912 |
---|---|
Name: | D & Z COMMUNITY CENTER INC |
Entity Type: | Organization |
Organization Name: | D & Z COMMUNITY CENTER INC |
Other - Org Name: | PROJECT HOPE GLOBAL |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | CEO |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | LEO |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | PHILLIPS |
Authorized Official - Suffix: | JR |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 843-245-7555 |
Mailing Address - Street 1: | 3741 E HIGHWAY 76 |
Mailing Address - Street 2: | |
Mailing Address - City: | MULLINS |
Mailing Address - State: | SC |
Mailing Address - Zip Code: | 29574-7304 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 843-245-7555 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 3741 E HIGHWAY 76 |
Practice Address - Street 2: | |
Practice Address - City: | MULLINS |
Practice Address - State: | SC |
Practice Address - Zip Code: | 29574-7304 |
Practice Address - Country: | US |
Practice Address - Phone: | 843-245-7555 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2014-09-25 |
Last Update Date: | 2014-09-25 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 320800000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Mental Illness | |
No | 251E00000X | Agencies | Home Health | |
No | 251S00000X | Agencies | Community/Behavioral Health | |
No | 320600000X | Residential Treatment Facilities | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
No | 320700000X | Residential Treatment Facilities | Residential Treatment Facility, Physical Disabilities | |
No | 320900000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
No | 322D00000X | Residential Treatment Facilities | Residential Treatment Facility, Emotionally Disturbed Children | |
No | 323P00000X | Residential Treatment Facilities | Psychiatric Residential Treatment Facility | |
No | 324500000X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility | |
No | 3245S0500X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility | Substance Abuse Treatment, Children |
No | 332100000X | Suppliers | Department of Veterans Affairs (VA) Pharmacy | |
No | 343900000X | Transportation Services | Non-emergency Medical Transport (VAN) | |
No | 347C00000X | Transportation Services | Private Vehicle | |
No | 385HR2050X | Respite Care Facility | Respite Care | Respite Care Camp |
No | 385HR2055X | Respite Care Facility | Respite Care | Respite Care, Mental Illness, Child |