1053451948 SOUTH CAROLINA DEPPARTMENT OF JUVENILE JUSTICE

Emotionally Disturbed Childrens' Residential Treatment Facility

Active

Basic Information

Organization Name
SOUTH CAROLINA DEPPARTMENT 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
742 T BISHOP RD
JONESVILLE, SC 293532342
Phone
(864) 674-0458
Fax
(864) 674-0460

Mailing Address

Address
P.O. BOX 21069
COLUMBIA, SC 292211069
Phone
(803) 869-4751
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
DJJ062 05 SC N/A

Frequently Asked Questions

What is SOUTH CAROLINA DEPPARTMENT OF JUVENILE JUSTICE's NPI number?
SOUTH CAROLINA DEPPARTMENT OF JUVENILE JUSTICE's NPI number is 1053451948.
Which doctor has NPI number 1053451948?
The doctor with NPI number 1053451948 is SOUTH CAROLINA DEPPARTMENT OF JUVENILE JUSTICE.
What is SOUTH CAROLINA DEPPARTMENT OF JUVENILE JUSTICE's practice address?
SOUTH CAROLINA DEPPARTMENT OF JUVENILE JUSTICE's practice address is 742 T BISHOP RD, JONESVILLE, SC, 293532342.
Which doctor practices at 742 T BISHOP RD, JONESVILLE, SC, 293532342?
SOUTH CAROLINA DEPPARTMENT OF JUVENILE JUSTICE practices at 742 T BISHOP RD, JONESVILLE, SC, 293532342.
What is SOUTH CAROLINA DEPPARTMENT OF JUVENILE JUSTICE's mailing address?
SOUTH CAROLINA DEPPARTMENT OF JUVENILE JUSTICE's mailing address is P.O. BOX 21069, COLUMBIA, SC, 292211069.
What is SOUTH CAROLINA DEPPARTMENT OF JUVENILE JUSTICE's phone number?
SOUTH CAROLINA DEPPARTMENT OF JUVENILE JUSTICE's phone number is (864) 674-0458.
Who is (864) 674-0458?
(864) 674-0458 is the phone number for SOUTH CAROLINA DEPPARTMENT OF JUVENILE JUSTICE.
What is SOUTH CAROLINA DEPPARTMENT OF JUVENILE JUSTICE's specialty?
SOUTH CAROLINA DEPPARTMENT OF JUVENILE JUSTICE's specialty is Emotionally Disturbed Childrens' Residential Treatment Facility.
What type of doctor is SOUTH CAROLINA DEPPARTMENT OF JUVENILE JUSTICE?
SOUTH CAROLINA DEPPARTMENT OF JUVENILE JUSTICE is a Emotionally Disturbed Childrens' Residential Treatment Facility.
Is SOUTH CAROLINA DEPPARTMENT OF JUVENILE JUSTICE a Residential Treatment Facility, Emotionally Disturbed Children?
Yes, SOUTH CAROLINA DEPPARTMENT OF JUVENILE JUSTICE is a Residential Treatment Facility, Emotionally Disturbed Children.
Is SOUTH CAROLINA DEPPARTMENT OF JUVENILE JUSTICE still practicing?
Yes, SOUTH CAROLINA DEPPARTMENT OF JUVENILE JUSTICE is currently practicing.
Is SOUTH CAROLINA DEPPARTMENT OF JUVENILE JUSTICE accepting new patients?
SOUTH CAROLINA DEPPARTMENT OF JUVENILE JUSTICE may be accepting new patients. Please call their office at (864) 674-0458 to inquire about availability.
Is NPI 1053451948 still active?
Yes, NPI 1053451948 is currently active.
Where does SOUTH CAROLINA DEPPARTMENT OF JUVENILE JUSTICE practice?
SOUTH CAROLINA DEPPARTMENT OF JUVENILE JUSTICE practices in JONESVILLE, SC.