Provider Demographics
NPI:1558573238
Name:DENSLOW FAMILY RELATIONS CENTER, INC.
Entity Type:Organization
Organization Name:DENSLOW FAMILY RELATIONS CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:G
Authorized Official - Last Name:DENSLOW
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:843-884-8511
Mailing Address - Street 1:P.O. BOX 2055
Mailing Address - Street 2:
Mailing Address - City:MT. PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29465
Mailing Address - Country:US
Mailing Address - Phone:843-884-8511
Mailing Address - Fax:
Practice Address - Street 1:1001 ANNA KNAPP BLVD.
Practice Address - Street 2:
Practice Address - City:MT. PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464
Practice Address - Country:US
Practice Address - Phone:843-884-8511
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCLISW-CP 7131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCQ312380282Medicare ID - Type Unspecified