Organization · Type 2 NPI

S.c Department of Juvenile Justice

Emotionally Disturbed Childrens' Residential Treatment Facility · Columbia, SC

NPI number 1205175452 Active

Practice location

2112 Chandler Ave
Columbia, SC 29210-6204

Call (803) 896-9784 Map

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000X3627 (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 1205175452

S.c Department of Juvenile Justice's National Provider Identifier is 1205175452, issued on Feb 7, 2013. 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 Feb 7, 2013.