1407997034 SOUTH CAROLINA DEPARTMENT OF JUVENILE JUSTICE

Emotionally Disturbed Childrens' Residential Treatment Facility

Active

Basic Information

Organization Name
SOUTH CAROLINA DEPARTMENT OF JUVENILE JUSTICE
Enumeration Date
February 8, 2007
Last Update
August 22, 2020
Authorized Official
MS. MIA L RICHARDSON
MEDICAID PROJECT ADMINISTRATOR
Phone: (803) 896-4751

Practice Location

Address
620 MARLBORO RD
BENNETTSVILLE, SC 295127733
Phone
(843) 479-0420
Fax
(843) 479-0840

Mailing Address

Address
PO BOX 21069
COLUMBIA, SC 292211069
Phone
(803) 896-4751
Fax
(803) 896-8473

Specialties & Taxonomies

Specialty Code Classification License State Primary
Emotionally Disturbed Childrens' Residential Treatment Facility
322D00000X Residential Treatment Facility, Emotionally Disturbed Children N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
DJJ048 05 SC N/A

Frequently Asked Questions

What is SOUTH CAROLINA DEPARTMENT OF JUVENILE JUSTICE's NPI number?
SOUTH CAROLINA DEPARTMENT OF JUVENILE JUSTICE's NPI number is 1407997034.
Which doctor has NPI number 1407997034?
The doctor with NPI number 1407997034 is SOUTH CAROLINA DEPARTMENT OF JUVENILE JUSTICE.
What is SOUTH CAROLINA DEPARTMENT OF JUVENILE JUSTICE's practice address?
SOUTH CAROLINA DEPARTMENT OF JUVENILE JUSTICE's practice address is 620 MARLBORO RD, BENNETTSVILLE, SC, 295127733.
Which doctor practices at 620 MARLBORO RD, BENNETTSVILLE, SC, 295127733?
SOUTH CAROLINA DEPARTMENT OF JUVENILE JUSTICE practices at 620 MARLBORO RD, BENNETTSVILLE, SC, 295127733.
What is SOUTH CAROLINA DEPARTMENT OF JUVENILE JUSTICE's mailing address?
SOUTH CAROLINA DEPARTMENT OF JUVENILE JUSTICE's mailing address is PO BOX 21069, COLUMBIA, SC, 292211069.
What is SOUTH CAROLINA DEPARTMENT OF JUVENILE JUSTICE's phone number?
SOUTH CAROLINA DEPARTMENT OF JUVENILE JUSTICE's phone number is (843) 479-0420.
Who is (843) 479-0420?
(843) 479-0420 is the phone number for SOUTH CAROLINA DEPARTMENT OF JUVENILE JUSTICE.
What is SOUTH CAROLINA DEPARTMENT OF JUVENILE JUSTICE's specialty?
SOUTH CAROLINA DEPARTMENT OF JUVENILE JUSTICE's specialty is Emotionally Disturbed Childrens' Residential Treatment Facility.
What type of doctor is SOUTH CAROLINA DEPARTMENT OF JUVENILE JUSTICE?
SOUTH CAROLINA DEPARTMENT OF JUVENILE JUSTICE is a Emotionally Disturbed Childrens' Residential Treatment Facility.
Is SOUTH CAROLINA DEPARTMENT OF JUVENILE JUSTICE a Residential Treatment Facility, Emotionally Disturbed Children?
Yes, SOUTH CAROLINA DEPARTMENT OF JUVENILE JUSTICE is a Residential Treatment Facility, Emotionally Disturbed Children.
Is SOUTH CAROLINA DEPARTMENT OF JUVENILE JUSTICE still practicing?
Yes, SOUTH CAROLINA DEPARTMENT OF JUVENILE JUSTICE is currently practicing.
Is SOUTH CAROLINA DEPARTMENT OF JUVENILE JUSTICE accepting new patients?
SOUTH CAROLINA DEPARTMENT OF JUVENILE JUSTICE may be accepting new patients. Please call their office at (843) 479-0420 to inquire about availability.
Is NPI 1407997034 still active?
Yes, NPI 1407997034 is currently active.
Where does SOUTH CAROLINA DEPARTMENT OF JUVENILE JUSTICE practice?
SOUTH CAROLINA DEPARTMENT OF JUVENILE JUSTICE practices in BENNETTSVILLE, SC.