Substance Abuse Disorder Rehabilitation Facility

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

SUBSTANCE ABUSE DISORDER REHABILITATION FACILITY

Practice address

910 Cook Rd
Orangeburg, SC 29118-2124

Phone

(803) 534-2328

Fax

(803) 531-8419

NPI assigned

Dec 7, 2022

Organization subpart

No

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

Authorized official

Name

Sandra Bethume

Title

Administrative Manager

Phone

(803) 534-2328

Specialties & licenses 1

Addresses

Tax ID family

Substance Abuse Disorder Rehabilitation Facility2 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.

• Tri-County Commission on Alcohol and Drug Abuse

  • Substance Abuse Rehabilitation Facility
  • Orangeburg, SC
  • NPI 1376254359
  NPD tax ID

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

{
    "created_epoch": "1670371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670371200000",
    "number": "1366153603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 COOK RD",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291182124",
            "telephone_number": "803-534-2328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 COOK RD",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291182124",
            "telephone_number": "803-534-2328",
            "fax_number": "803-531-8419"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "910 Cook Rd",
            "address_purpose": "LOCATION",
            "city": "Orangeburg",
            "state": "SC",
            "postal_code": "291182124",
            "country_code": "US",
            "telephone_number": "803-534-2328",
            "fax_number": "803-531-8419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUBSTANCE ABUSE DISORDER REHABILITATION FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-07",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A",
        "authorized_official_last_name": "BETHUME",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "ADMINISTRATIVE MANAGER",
        "authorized_official_telephone_number": "803-534-2328"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Stichter, LMSW
• Ola Anthene Stokes, MHP
• Carla Ann Strickland, RPH
• Orinthal R Striggles, MASTERS IN VOCATIONA
• Precious Qiara Suber
• Annee Sugick
• Dana Nicole Summers
• Shavon Summers
• Ashutosh Suresh, MD
• Aneshia L Taste, MHP

• Substance Abuse Rehabilitation Facility in Orangeburg, SC
• Providers in Orangeburg, 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 Dec 7, 2022; 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.