Provider Demographics
NPI:1942512975
Name:CHILDREN IN CRISIS IN DORCHESTER COUNTY, INC.
Entity Type:Organization
Organization Name:CHILDREN IN CRISIS IN DORCHESTER COUNTY, INC.
Other - Org Name:DORCHESTER CHILDREN'S CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KAY
Authorized Official - Middle Name:W
Authorized Official - Last Name:PHILLIPS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LISW-CP
Authorized Official - Phone:843-875-1551
Mailing Address - Street 1:303 E RICHARDSON AVE
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29483-6336
Mailing Address - Country:US
Mailing Address - Phone:843-875-1551
Mailing Address - Fax:843-851-5963
Practice Address - Street 1:303 E RICHARDSON AVE
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29483-6336
Practice Address - Country:US
Practice Address - Phone:843-875-1551
Practice Address - Fax:843-851-5963
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-07
Last Update Date:2010-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health