1639415920 INDIVIDUAL

Emotionally Disturbed Childrens' Residential Treatment Facility

Active

Basic Information

Organization Name
INDIVIDUAL
Enumeration Date
December 14, 2012
Last Update
December 14, 2012
Authorized Official
MS. JAN GIESEN LISW
DIRECTOR OF SOCIAL WORK
Phone: (803) 896-4813

Practice Location

Address
1725 SHIVERS RD
COLUMBIA, SC 292105413
Phone
(803) 896-5732
Fax
(803) 896-5723

Mailing Address

Address
1725 SHIVERS RD
COLUMBIA, SC 292105413
Phone
(803) 896-5732
Fax
(803) 896-5723

Specialties & Taxonomies

Specialty Code Classification License State Primary
Emotionally Disturbed Childrens' Residential Treatment Facility
322D00000X Residential Treatment Facility, Emotionally Disturbed Children 5322 SC Primary

Frequently Asked Questions

What is INDIVIDUAL's NPI number?
INDIVIDUAL's NPI number is 1639415920.
Which doctor has NPI number 1639415920?
The doctor with NPI number 1639415920 is INDIVIDUAL.
What is INDIVIDUAL's practice address?
INDIVIDUAL's practice address is 1725 SHIVERS RD, COLUMBIA, SC, 292105413.
Which doctor practices at 1725 SHIVERS RD, COLUMBIA, SC, 292105413?
INDIVIDUAL practices at 1725 SHIVERS RD, COLUMBIA, SC, 292105413.
What is INDIVIDUAL's phone number?
INDIVIDUAL's phone number is (803) 896-5732.
Who is (803) 896-5732?
(803) 896-5732 is the phone number for INDIVIDUAL.
What is INDIVIDUAL's specialty?
INDIVIDUAL's specialty is Emotionally Disturbed Childrens' Residential Treatment Facility.
What type of doctor is INDIVIDUAL?
INDIVIDUAL is a Emotionally Disturbed Childrens' Residential Treatment Facility.
Is INDIVIDUAL a Residential Treatment Facility, Emotionally Disturbed Children?
Yes, INDIVIDUAL is a Residential Treatment Facility, Emotionally Disturbed Children.
Is INDIVIDUAL still practicing?
Yes, INDIVIDUAL is currently practicing.
Is INDIVIDUAL accepting new patients?
INDIVIDUAL may be accepting new patients. Please call their office at (803) 896-5732 to inquire about availability.
Is NPI 1639415920 still active?
Yes, NPI 1639415920 is currently active.
Where does INDIVIDUAL practice?
INDIVIDUAL practices in COLUMBIA, SC.