Organization · Type 2 NPI

SC Department of Juvenile Justice

Mental Illness Community Based Residential Treatment Facility · Columbia, SC

NPI number 1770829772 Active

Practice location

5000 Broad River Rd
Columbia, SC 29212-3532

Call (803) 896-8694 Map

Mailing address

5000 Broad River Rd
Columbia, SC 29210

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000X4938 (SC)

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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About NPI 1770829772

SC Department of Juvenile Justice's National Provider Identifier is 1770829772, issued on Dec 19, 2012. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Columbia, SC. The record was last updated on Dec 19, 2012.