Provident Place
Provident Place is a Community/Behavioral Health Agency in Columbia, South Carolina. Registered with an NPI since 2016.
- In the registry since
- 2016
Practice location Address checks out
418 Bradford LnColumbia, SC 29223-7131
Phone: (803) 447-6779
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X |
|---|
Record details
| NPI number | 1689028912 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Marie Brown — Owner · (803) 447-6779 |
| NPI enumerated | April 23, 2016 |
| Last updated in NPPES | April 23, 2016 |
| Mailing address | 418 Bradford Ln, Columbia, SC 29223-7131 |
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