Organization · Type 2 NPI

South Carolina Department of Juvenile Justice

Emotionally Disturbed Childrens' Residential Treatment Facility · Columbia, SC

NPI number 1710027644 Active

Practice location

5300 Broad River Rd
Columbia, SC 29212-3539

Call (803) 551-1100 Map

Fax (803) 551-5560

Mailing address

PO Box 21069
Columbia, SC 29221-1069

Specialties and licenses

Taxonomy	Code	License
Emotionally Disturbed Childrens' Residential Treatment Facility Primary	322D00000X	None 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 1710027644

South Carolina Department of Juvenile Justice's National Provider Identifier is 1710027644, issued on Feb 8, 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.