COUNSELING AND INNOVATIVE TREATMENT SERVICES
Managed Care Organizations at Middleburg Dr, Columbia, SC

License number
South Carolina 5286
Category
Managed Care Organizations
Type
Preferred Provider Organization
Owner
Name: MRS. DEBORAH JACKSON
Title: CEO
Phone: (803) 779-0169
Address
Address
2712 Middleburg Dr SUITE 206, Columbia, SC 29204
National Provider ID: 1780968347
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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COUNSELING AND INNOVATIVE TREATMENT SERVICES, LLC

2712 Middleburg Dr, Columbia, SC 29204

Registration:
Oct 25, 2011
Business type:
Domestic
Formation place:
SOUTH CAROLINA
Agent:
Deborah Jackson

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