Chester County Commision on Alcohol and Drug Abuse

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

CHESTER COUNTY COMMISION ON ALCOHOL AND DRUG ABUSE

Practice address

130 Hudson St
Chester, SC 29706-1524

Phone

(803) 377-8111

Fax

(803) 581-5380

NPI assigned

Jul 12, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Maria T Bates

Title

Executive Director

Phone

(803) 377-8111

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• The Hazel Pittman Center Doing business as

Tax ID family

Chester County Commision on Alcohol and Drug Abuse2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Chester County Commission on Alcohol and Drug Abuse

  • Community/Behavioral Health Agency
  • Chester, SC
  • NPI 1831525138
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462320000000",
    "number": "1154329308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 HUDSON ST",
            "city": "CHESTER",
            "state": "SC",
            "postal_code": "297061524",
            "telephone_number": "803-377-8111",
            "fax_number": "803-581-5380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 HUDSON ST",
            "city": "CHESTER",
            "state": "SC",
            "postal_code": "297061524",
            "telephone_number": "803-377-8111",
            "fax_number": "803-581-5380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTER COUNTY COMMISION ON ALCOHOL AND DRUG ABUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "last_updated": "2016-05-04",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "803-377-8111"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AD23CS",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Hazel Pittman Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carolina Podiatry Group, Inc.
• Jacqueline M Carson
• Samantha Celori, M.A., CCC-SLP
• Charlotte Eye Ear Nose & Throat Associates, PA
• Chester Anesthesia, LLC
• Chester County Commission on Alcohol and Drug Abuse
• Chester County EMS
• Chester County School District
• Chester Dental Care
• Chester Family Dental Care, LLC

• Substance Use Disorder Rehabilitation Clinic/Center in Chester, SC
• Providers in Chester, SC by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.