1871633081 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 7, 2007
- Last Update
- August 22, 2020
- Authorized Official
- MS. MIA L RICHARDSON
MEDICAID PROJECT ADMINISTRATOR
Phone: (803) 896-4751
Practice Location
- Address
- 1590 EAST CCC ROAD
HIGHWAY 17 SOUTH
GEORGETOWN, SC 29440 - Phone
- (864) 546-5478
- Fax
- (843) 546-5652
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 |
---|---|---|---|
DJJ057 | 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 1871633081.
Which doctor has NPI number 1871633081?
The doctor with NPI number 1871633081 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 1590 EAST CCC ROAD, HIGHWAY 17 SOUTH, GEORGETOWN, SC, 29440.
Which doctor practices at 1590 EAST CCC ROAD, HIGHWAY 17 SOUTH, GEORGETOWN, SC, 29440?
SOUTH CAROLINA DEPARTMENT OF JUVENILE JUSTICE practices at 1590 EAST CCC ROAD, HIGHWAY 17 SOUTH, GEORGETOWN, SC, 29440.
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) 546-5478.
Who is (864) 546-5478?
(864) 546-5478 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) 546-5478 to inquire about availability.
Is NPI 1871633081 still active?
Yes, NPI 1871633081 is currently active.
Where does SOUTH CAROLINA DEPARTMENT OF JUVENILE JUSTICE practice?
SOUTH CAROLINA DEPARTMENT OF JUVENILE JUSTICE practices in GEORGETOWN, SC.