Organization · Type 2 NPI
South Carolina Department of Juvenile Justice
Emotionally Disturbed Childrens' Residential Treatment Facility · Patrick, SC
Practice location
2381 Campbell Lake Rd
Patrick, SC 29584-4016
Fax (843) 921-0937
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.
About NPI 1821138678
South Carolina Department of Juvenile Justice's National Provider Identifier is 1821138678, issued on Feb 8, 2007. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Patrick, SC. The record was last updated on Aug 22, 2020.