Courtlyn House CRCF

Key facts

NPI

1992007355

Entity type

Organization (NPI type 2)

Primary specialty

Community/Behavioral Health Agency 251S00000X

Legal business name

COURTLYN HOUSE CRCF

Practice address

10508 Garners Ferry Rd
Eastover, SC 29044-9352

Phone

(803) 695-2158

Fax

(803) 695-2746

NPI assigned

Nov 17, 2010

Organization subpart

No

Authorized official

Name

Ann J. Findley

Title

Owner/Operator

Phone

(803) 695-2158

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 17, 2010.

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289952000000",
    "number": "1992007355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10508 GARNERS FERRY RD",
            "city": "EASTOVER",
            "state": "SC",
            "postal_code": "290449352",
            "telephone_number": "803-695-2158",
            "fax_number": "803-695-2746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10508 GARNERS FERRY RD",
            "city": "EASTOVER",
            "state": "SC",
            "postal_code": "290449352",
            "telephone_number": "803-695-2158",
            "fax_number": "803-695-2746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURTLYN HOUSE CRCF",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-17",
        "last_updated": "2010-11-17",
        "status": "A",
        "authorized_official_last_name": "FINDLEY",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "803-695-2158"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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