Provider Demographics
NPI:1467883645
Name:DISABILITIES BOARD OF CHARLESTON COUNTY
Entity Type:Organization
Organization Name:DISABILITIES BOARD OF CHARLESTON COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RICK
Authorized Official - Middle Name:
Authorized Official - Last Name:MAGNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-805-5800
Mailing Address - Street 1:995 MORRISON DRIVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29403
Mailing Address - Country:US
Mailing Address - Phone:843-805-5800
Mailing Address - Fax:843-965-6253
Practice Address - Street 1:995 MORRISON DRIVE
Practice Address - Street 2:SUITE 100
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29403
Practice Address - Country:US
Practice Address - Phone:843-805-5800
Practice Address - Fax:843-965-6253
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-12
Last Update Date:2013-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No251B00000XAgenciesCase Management
No252Y00000XAgenciesEarly Intervention Provider Agency