National Provider Identifier Database

CHILDRENS RECOVERY CENTER
Voluntary or Charitable


Contact Information

CHILDRENS RECOVERY CENTER
1801 LEGION ST
MYRTLE BEACH, SC29577-3113
Phone: 843-448-3400
Fax: 843-626-5040
Website:
Specialty Taxonomy Code
* Voluntary or Charitable 251V00000X

* Indicates primary specialty

NPI Profile & details for CHILDRENS RECOVERY CENTER

NPI Number 1568699833
Legal business name
LBN
CHILDRENS RECOVERY CENTER
Authorized official NICOLE BANDEL - (BUSINESS MANAGER)
Entity Organization
Organization subpart No
Enumeration date 06/15/2009
Last updated 06/15/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • SC License #: SC0277
  • SC Medicaid: E712861106

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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