Organization · Type 2 NPI

Lutheran Family Services In the Carolinas

Emotionally Disturbed Childrens' Residential Treatment Facility · Columbia, SC

NPI number 1124164355 Active

Practice location

4230 Timberlane Dr
Columbia, SC 29205-4941

Call (803) 790-9783 Map

Mailing address

PO Box 12287
Raleigh, NC 27605-2287

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000XSR-0008194001 GH (SC)

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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About NPI 1124164355

Lutheran Family Services In the Carolinas's National Provider Identifier is 1124164355, issued on Jan 29, 2007. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Columbia, SC. The record was last updated on Aug 22, 2020.