Organization · Type 2 NPI

South Carolina Department of Juvenile Justice

Emotionally Disturbed Childrens' Residential Treatment Facility · Bennettsville, SC

NPI number 1407997034 Active

Practice location

620 Marlboro Rd
Bennettsville, SC 29512-7733

Fax (843) 479-0840

Mailing address

PO Box 21069
Columbia, SC 29221-1069

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000XNone listed

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 1407997034

South Carolina Department of Juvenile Justice's National Provider Identifier is 1407997034, issued on Feb 8, 2007. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Bennettsville, SC. The record was last updated on Aug 22, 2020.