Provider Demographics
NPI:1447758784
Name:ONE TOUCH TRANSFORMATION
Entity Type:Organization
Organization Name:ONE TOUCH TRANSFORMATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:ARTHENIUS
Authorized Official - Middle Name:
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:910-849-1199
Mailing Address - Street 1:702 S COIT ST STE 8
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501-5113
Mailing Address - Country:US
Mailing Address - Phone:910-849-1199
Mailing Address - Fax:
Practice Address - Street 1:702 S COIT ST STE 8
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-5113
Practice Address - Country:US
Practice Address - Phone:910-849-1199
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-31
Last Update Date:2018-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health