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Carolina Autism Supported Living Services
Emotionally Disturbed Childrens' Residential Treatment Facility in Charleston, South Carolina
NPI 1043394976

Carolina Autism Supported Living Services is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Charleston, SC. Carolina Autism Supported Living Services practices in Charleston, SC. The NPI Number for Carolina Autism Supported Living Services is 1043394976 and holds a License No. (South Carolina).

The current practice location address for Carolina Autism Supported Living Services is 4 Carriage Ln Ste 302, Charleston, SC and can be reached out via phone at 843-573-1905 and via fax at 843-573-1926.

Location: 4 Carriage Ln Ste 302, Charleston, SC, 29407-6050
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043394976
Provider Name
Carolina Autism Supported Living Services
Credential
Provider Entity Type
Organization
Address
4 Carriage Ln Ste 302, Charleston, SC, 29407-6050
Phone Number
843-573-1905
Fax Number
843-573-1926
Provider Enumeration Date
10/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
905MXH 05 SC
EXG302 05 SC
894MXH 05 SC
institution
Provider Business Practice Location Address Details
Address
4 Carriage Ln Ste 302
City
Charleston
State
South Carolina
Zip
29407-6050
Phone Number
843-573-1905
Fax Number
843-573-1926
person
Provider Business Mailing Address Details
Address
4 Carriage Ln Ste 302
City
Charleston
State
South Carolina
Zip
29407-6050
Phone Number
843-573-1905
Fax Number
843-573-1926
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
(South Carolina)
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
()
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.
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