institution
South Carolina Department Of Juvenile Justice
Emotionally Disturbed Childrens' Residential Treatment Facility in Columbia, South Carolina
NPI 1083755615

South Carolina Department Of Juvenile Justice is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Columbia, SC. South Carolina Department Of Juvenile Justice practices in Columbia, SC. The NPI Number for South Carolina Department Of Juvenile Justice is 1083755615 and holds a License No. (South Carolina).

The current practice location address for South Carolina Department Of Juvenile Justice is 1600 Shivers Rd, Columbia, SC and can be reached out via phone at 803-896-9122 and via fax at 803-896-8476. You can also correspond with South Carolina Department Of Juvenile Justice through the mailing address at PO BOX 21069, COLUMBIA, SC - 29221-1069 (mailing address contact number: 806-896-4751).

Location: 1600 Shivers Rd, Columbia, SC, 29221-1069
institution
Provider Profile Details
NPI Number
1083755615
Provider Name
South Carolina Department Of Juvenile Justice
Credential
Provider Entity Type
Organization
Address
1600 Shivers Rd, Columbia, SC, 29221-1069
Phone Number
803-896-9122
Fax Number
803-896-8476
Provider Enumeration Date
02/08/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DJJ056 05 SC
institution
Provider Business Practice Location Address Details
Address
1600 Shivers Rd
City
State
Zip
29210-5429
Phone Number
803-896-9122
Fax Number
803-896-8476
person
Provider Business Mailing Address Details
Address
1600 Shivers Rd
City
State
Zip
29210-5429
Phone Number
803-896-9122
Fax Number
803-896-8476
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
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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