Provider Demographics
NPI:1053703892
Name:CL SEVEN, INC.
Entity type:Organization
Organization Name:CL SEVEN, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:SIMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:MHA
Authorized Official - Phone:803-608-5757
Mailing Address - Street 1:906 DELVERTON RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29203-4306
Mailing Address - Country:US
Mailing Address - Phone:803-608-5757
Mailing Address - Fax:803-786-5594
Practice Address - Street 1:906 DELVERTON RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29203-4306
Practice Address - Country:US
Practice Address - Phone:803-608-5757
Practice Address - Fax:803-786-5594
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-03
Last Update Date:2015-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management