1710027578 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
- 423 VARDRY ST
GREENVILLE, SC 296013307 - Phone
- (864) 233-5574
- Fax
- (864) 233-7526
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 |
|---|---|---|---|
| DJJ058 | 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 1710027578.
Which doctor has NPI number 1710027578?
The doctor with NPI number 1710027578 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 423 VARDRY ST, GREENVILLE, SC, 296013307.
Which doctor practices at 423 VARDRY ST, GREENVILLE, SC, 296013307?
SOUTH CAROLINA DEPARTMENT OF JUVENILE JUSTICE practices at 423 VARDRY ST, GREENVILLE, SC, 296013307.
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) 233-5574.
Who is (864) 233-5574?
(864) 233-5574 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) 233-5574 to inquire about availability.
Is NPI 1710027578 still active?
Yes, NPI 1710027578 is currently active.
Where does SOUTH CAROLINA DEPARTMENT OF JUVENILE JUSTICE practice?
SOUTH CAROLINA DEPARTMENT OF JUVENILE JUSTICE practices in GREENVILLE, SC.