South Carolina Department Of Juvenile Justice in Georgetown - Residential Treatment Facility, Emotionally Disturbed Children
South Carolina Department Of Juvenile Justice - NPI 1871633081
South Carolina Department Of Juvenile Justice is a Residential Treatment Facility, Emotionally Disturbed Children in Georgetown, South Carolina. South Carolina Department Of Juvenile Justice practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for South Carolina Department Of Juvenile Justice is 1871633081. The last update date is 2020-08-22.
South Carolina Department Of Juvenile Justice's current location address is 1590 East Ccc Road, Georgetown, South Carolina. You can contact this provider via phone number 8645465478 and fax number 8435465652. The mailing address for South Carolina Department Of Juvenile Justice is 1590 East Ccc Road, Georgetown, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Carolina Department Of Juvenile Justice |
|---|---|
| Address | 1590 East Ccc Road, Georgetown, South Carolina |
| Phone Number | 8645465478 |
| Fax Number | 8435465652 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAID P |
|---|---|
| Authorized Official Name | Richardson L Mia |
| Telephone Number | 8038964751 |
NPI Number Detail
| NPI Number | 1871633081 |
|---|---|
| Provider Enumeration Date | 2007-02-07 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1590 East Ccc Road |
|---|---|
| City | Georgetown |
| State | South Carolina (SC) |
| Post Code | 29440 |
| Phone Number | 8645465478 |
| Fax Number | 8435465652 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
|
Definition: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DJJ057 | SC | -- |
Post Comment/ Review Below
What is the South Carolina Department Of Juvenile Justice's 1871633081?
The South Carolina Department Of Juvenile Justice's NPI (National Provider Identifier) Number is 1871633081. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where South Carolina Department Of Juvenile Justice is physically located?
The South Carolina Department Of Juvenile Justice is situated at the following address: 1590 East Ccc Road, Georgetown, SC 29440.
What is the area of specialization for South Carolina Department Of Juvenile Justice, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for South Carolina Department Of Juvenile Justice is Residential Treatment Facility, Emotionally Disturbed Children, and the corresponding taxonomy code that categorizes this area of expertise is 322D00000X.
On what date did South Carolina Department Of Juvenile Justice receive its 1871633081 assignment from the Centers for Medicare & Medicaid Services?
The South Carolina Department Of Juvenile Justice was assigned its 1871633081 on 2007-02-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to South Carolina Department Of Juvenile Justice most recently updated or refreshed?
The details pertaining to the South Carolina Department Of Juvenile Justice, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
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