Organization · Type 2 NPI

Department of Juvenile Justice

Community/Behavioral Health Agency · Columbia, SC

NPI number 1619212917 Active

Practice location

1725 Shivers Rd
Columbia, SC 29210-5413

Mailing address

11 Bradford Knoll Ct
Columbia, SC 29223-7142

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000X4663 (SC)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1619212917

Department of Juvenile Justice's National Provider Identifier is 1619212917, issued on Nov 28, 2012. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Columbia, SC. The record was last updated on Dec 3, 2012.