Provider Demographics
NPI:1992007355
Name:COURTLYN HOUSE CRCF
Entity Type:Organization
Organization Name:COURTLYN HOUSE CRCF
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:J
Authorized Official - Last Name:FINDLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-695-2158
Mailing Address - Street 1:10508 GARNERS FERRY RD
Mailing Address - Street 2:
Mailing Address - City:EASTOVER
Mailing Address - State:SC
Mailing Address - Zip Code:29044-9352
Mailing Address - Country:US
Mailing Address - Phone:803-695-2158
Mailing Address - Fax:803-695-2746
Practice Address - Street 1:10508 GARNERS FERRY RD
Practice Address - Street 2:
Practice Address - City:EASTOVER
Practice Address - State:SC
Practice Address - Zip Code:29044-9352
Practice Address - Country:US
Practice Address - Phone:803-695-2158
Practice Address - Fax:803-695-2746
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-17
Last Update Date:2010-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health