COMMUNITY ORGANIZED FOR ADVANCEMENT, INC.; NPI #1649461963

Contact Information

COMMUNITY ORGANIZED FOR ADVANCEMENT, INC.

106 E THOMAS ST
LAKE CITY, SC 29560-2639

Phone: 843-229-8504
Fax: 866-285-0122
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Voluntary or Charitable	251V00000X	61	Voluntary Health or Charitable Agency[1]
Clinical	103TC0700X	62	Psychologist, Clinical
Community/Behavioral Health	251S00000X
Family Planning, Non-Surgical	261QF0050X

Indicates primary specialty

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NPI Profile & details for COMMUNITY ORGANIZED FOR ADVANCEMENT, INC.

NPI #	`1649461963`
LBN Legal business name	COMMUNITY ORGANIZED FOR ADVANCEMENT, INC.
Authorized official	KELVIN WILLIAMS - (EXECUTIVE DIRECTOR)
Entity	Organization
Organization subpart ¹	No
Enumeration date	08/05/2007
Last updated	10/27/2007 - About 19 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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COMMUNITY ORGANIZED FOR ADVANCEMENT, INC.

Contact Information

Specialty

Voluntary or Charitable

Clinical

Community/Behavioral Health

Family Planning, Non-Surgical

NPI Profile & details for COMMUNITY ORGANIZED FOR ADVANCEMENT, INC.

Reviews for COMMUNITY ORGANIZED FOR ADVANCEMENT, INC.