SUBSTANCE ABUSE DISORDER REHABILITATION FACILITY
NPI 1366153603
Substance Abuse Rehabilitation Facility in Orangeburg, SC

Q: What is Substance Abuse Disorder Rehabilitation Facility's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Active since December 07, 2022

910 COOK RD, ORANGEBURG, SC 29118(803) 534-2328(803) 531-8419 Get Directions Write a Review

NPPES record last updated: December 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Substance Abuse Disorder Rehabilitation Facility NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUBSTANCE ABUSE DISORDER REHABILITATION FACILITY (NPI 1366153603) is a healthcare organization registered as a substance abuse rehabilitation facility in Orangeburg, South Carolina and active in the NPI registry since December 2022. The organization maintains a secondary practice location in Orangeburg and lists Sandra Bethume, Administrative Manager, as its authorized official.

NPPES Registry Identity

NPI1366153603

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NameSUBSTANCE ABUSE DISORDER REHABILITATION FACILITY

Location Address910 COOK RDOrangeburg, SC 29118-2124

Mailing Address910 Cook RdOrangeburg, SC 29118-2124 · (803) 534-2328

Phone(803) 534-2328

Fax(803) 531-8419

Organization SubpartNo

Authorized OfficialSandra BethumeAdministrative Manager · (803) 534-2328

Enumeration DateDecember 7, 2022

NPPES CertifiedDecember 7, 2022

✔ NPI 1366153603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities

Taxonomy Code324500000X

Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

910 COOK RD, Orangeburg, SC 29118

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Secondary Practice Location 1

Location 1910 Cook RdOrangeburg, SC 29118-2124 · Phone (803) 534-2328 · Fax (803) 531-8419

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEANA LENETTE TUCKER MA, CAC-I

Counselor (Addiction (Substance Use Disorder))