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.