1629119318 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 ADMINISTATOR
Phone: (803) 896-4751
Practice Location
- Address
- 810 DUNKLIN BRIDGE ROAD
FOUNTAIN INN, SC 29644 - Phone
- (864) 243-5557
- Fax
- (864) 243-3339
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 |
---|---|---|---|
DJJ052 | 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 1629119318.
Which doctor has NPI number 1629119318?
The doctor with NPI number 1629119318 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 810 DUNKLIN BRIDGE ROAD, FOUNTAIN INN, SC, 29644.
Which doctor practices at 810 DUNKLIN BRIDGE ROAD, FOUNTAIN INN, SC, 29644?
SOUTH CAROLINA DEPARTMENT OF JUVENILE JUSTICE practices at 810 DUNKLIN BRIDGE ROAD, FOUNTAIN INN, SC, 29644.
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 (864) 243-5557.
Who is (864) 243-5557?
(864) 243-5557 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 (864) 243-5557 to inquire about availability.
Is NPI 1629119318 still active?
Yes, NPI 1629119318 is currently active.
Where does SOUTH CAROLINA DEPARTMENT OF JUVENILE JUSTICE practice?
SOUTH CAROLINA DEPARTMENT OF JUVENILE JUSTICE practices in FOUNTAIN INN, SC.