Provider Demographics
NPI:1932567195
Name:JSS BEHAVIORAL SERVICES
Entity Type:Organization
Organization Name:JSS BEHAVIORAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:S
Authorized Official - Last Name:SELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:843-637-4211
Mailing Address - Street 1:7301 RIVERS AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:N CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29406-4650
Mailing Address - Country:US
Mailing Address - Phone:843-637-4211
Mailing Address - Fax:843-793-3691
Practice Address - Street 1:7301 RIVERS AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:N CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29406-4650
Practice Address - Country:US
Practice Address - Phone:843-637-4211
Practice Address - Fax:843-793-3691
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-03
Last Update Date:2016-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchoolGroup - Multi-Specialty