Chester County Commission on Alcohol and Drug Abuse

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CHESTER COUNTY COMMISSION ON ALCOHOL AND DRUG ABUSE

Doing business as

The Hazel PIttman Center

Practice address

130 Hudson St
Chester, SC 29706-1524

Phone

(803) 377-8111

Fax

(803) 581-5380

NPI assigned

Sep 18, 2013

Last updated

Sep 18, 2013By the provider in NPPES

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, CACII, NCACIINPI 1386931285

Title

Executive Director

Phone

(803) 377-8111

Specialties & licenses 1

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 Commision on Alcohol and Drug Abuse

  dba The Hazel Pittman Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Chester, SC
  • NPI 1154329308
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maria Teresa Bates, CACII, NCACII

  • Addiction (Substance Use Disorder) Counselor
  • Chester, SC
  • NPI 1386931285
  Authorized official Same address or phone

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

{
    "created_epoch": "1379462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379462400000",
    "number": "1831525138",
    "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 COMMISSION ON ALCOHOL AND DRUG ABUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-18",
        "last_updated": "2013-09-18",
        "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",
        "authorized_official_credential": "CACII, NCACII"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "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"
        }
    ]
}

• Jacqueline M Carson
• Samantha Celori, M.A., CCC-SLP
• Charlotte Eye Ear Nose & Throat Associates, PA
• Chester Anesthesia, LLC
• Chester County Commision on Alcohol and Drug Abuse (The Hazel Pittman Center)
• Chester County EMS
• Chester County School District
• Chester Dental Care
• Chester Family Dental Care, LLC
• Chester Hma Inc (Neighbors Care Home Health)

• Community/Behavioral Health Agency in Chester, SC
• Providers in Chester, SC by specialty
• Community/Behavioral Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; 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.