Lions Den Recreation Center, the

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

981 Issued in SC

Legal business name

LIONS DEN RECREATION CENTER, THE

Practice address

4159 Dorchester Rd
Suite B
North Charleston, SC 29405-7426

Phone

(843) 718-3064

Fax

(843) 718-3064

NPI assigned

Jun 5, 2015

Organization subpart

No

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

Authorized official

Name

H. Craig Jackson, COTA/L

Title

Director of Rehabilitation Services

Phone

(843) 819-9470

Specialties & licenses 5

Addresses

Other names 1

• Lions Den, The Doing business as

Locations

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433462400000",
    "number": "1174903009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4159 DORCHESTER RD",
            "address_2": "SUITE B",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "29405",
            "telephone_number": "843-718-3064",
            "fax_number": "843-718-3064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4159 DORCHESTER RD",
            "address_2": "SUITE B",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294057426",
            "telephone_number": "843-718-3064",
            "fax_number": "843-718-3064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIONS DEN RECREATION CENTER, THE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-05",
        "last_updated": "2015-06-05",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "H. CRAIG",
        "authorized_official_title_or_position": "DIRECTOR OF REHABILITATION SERVICES",
        "authorized_official_telephone_number": "843-819-9470",
        "authorized_official_credential": "COTA/L"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": "SC",
            "license": "981",
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "SC",
            "license": "981",
            "primary": false
        },
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": "SC",
            "license": "981",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "SC",
            "license": "981",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "SC",
            "license": "981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lions Den, The",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Julie L Linberg, RN
• Lincare Inc.
• Karen Lindsay, RN
• Little One Therapy Services, LLC
• Charlene Little
• Melissa Liverani, RN
• William J Livesay Jr., D.O.
• Living Waters Professional Counseling Services, Inc

• Substance Abuse Rehabilitation Facility in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Substance Abuse Rehabilitation Facility in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; 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.