Provider Demographics
NPI:1760845119
Name:CAROLINA ADDICTION AND PSYCHIATRIC TREATMENT ASSOCIATES
Entity Type:Organization
Organization Name:CAROLINA ADDICTION AND PSYCHIATRIC TREATMENT ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LLC MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:STILL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:843-754-1066
Mailing Address - Street 1:614 PARISH RD
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-7234
Mailing Address - Country:US
Mailing Address - Phone:843-754-1066
Mailing Address - Fax:
Practice Address - Street 1:2777 SPEISSEGGER DR
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29405-8229
Practice Address - Country:US
Practice Address - Phone:843-754-1066
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-03
Last Update Date:2016-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty