LIONS DEN RECREATION CENTER, THE
Residential Treatment Facilities at Dorchester Rd, Charleston, SC

License number
South Carolina 981
Category
Medical Practice
Type
Legal Medicine
License number
South Carolina 981
Category
Agencies
Type
Voluntary or Charitable
License number
South Carolina 981
Category
Hospitals
Type
Rehabilitation, Substance Use Disorder Unit
License number
South Carolina 981
Category
Medical Laboratory
Type
Clinical Medical Laboratory
License number
South Carolina 981
Category
Residential Treatment Facilities
Type
Substance Abuse Rehabilitation Facility
Owner
Name: H. CRAIG JACKSON COTA/L
Title: DIRECTOR OF REHABILITATION SERVICES
Phone: (843) 819-9470
Address
Address
4159 Dorchester Rd SUITE B, Charleston, SC 29405
National Provider ID: 1174903009
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about LIONS DEN RECREATION CENTER, THE at bizstanding.com

LION'S DEN RECREATION CENTER THE

4159B Dorchester Rd, North Charleston, SC 29405

Registration:
Oct 15, 2008
Business type:
Domestic
Formation place:
SOUTH CAROLINA
Agent:
H Craig Jackson

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