Active NPI
Steve Austin Facility of Charleston
- Substance Abuse Rehabilitation Facility
- North Charleston, SC
National Provider Identifier
1609008713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- STEVE AUSTIN FACILITY OF CHARLESTON
- Practice address
- 1383 Remount Rd
North Charleston, SC 29406-3345 - Phone
- (516) 361-5069
- NPI assigned
- Aug 23, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Loreal Elise Drayton
- Title
- Tresurer/Secretary
- Phone
- (843) 276-0289
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | SC | Primary |
Addresses
Primary practice location
1383 Remount Rd
North Charleston, SC 29406-3345
Mailing address
404 Kershaw Rd
Summerville, SC 29483-1940
Phone (843) 276-0289
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250985600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1250985600000",
"number": "1609008713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 KERSHAW RD",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294831940",
"telephone_number": "843-276-0289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1383 REMOUNT RD",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294063345",
"telephone_number": "516-361-5069"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEVE AUSTIN FACILITY OF CHARLESTON",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-23",
"last_updated": "2009-08-23",
"status": "A",
"authorized_official_last_name": "DRAYTON",
"authorized_official_first_name": "LOREAL",
"authorized_official_middle_name": "ELISE",
"authorized_official_title_or_position": "TRESURER/SECRETARY",
"authorized_official_telephone_number": "843-276-0289",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "SC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.