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Knox Wesleyan Home For Youth
Emotionally Disturbed Childrens' Residential Treatment Facility in Clinton, South Carolina
NPI 1255392577

Knox Wesleyan Home For Youth is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Clinton, SC. Knox Wesleyan Home For Youth practices in Clinton, SC. The NPI Number for Knox Wesleyan Home For Youth is 1255392577 and holds a License No. 253345027 (South Carolina).

The current practice location address for Knox Wesleyan Home For Youth is 605 N Broad St, Clinton, SC and can be reached out via phone at 864-833-4744 and via fax at 864-833-4289.

Location: 605 N Broad St, Clinton, SC, 29325-1707
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255392577
Provider Name
Knox Wesleyan Home For Youth
Credential
Provider Entity Type
Organization
Address
605 N Broad St, Clinton, SC, 29325-1707
Phone Number
864-833-4744
Fax Number
864-833-4289
Provider Enumeration Date
03/28/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
935-MXH 05 SC
institution
Provider Business Practice Location Address Details
Address
605 N Broad St
City
Clinton
State
South Carolina
Zip
29325-1707
Phone Number
864-833-4744
Fax Number
864-833-4289
person
Provider Business Mailing Address Details
Address
605 N Broad St
City
Clinton
State
South Carolina
Zip
29325-1707
Phone Number
864-833-4744
Fax Number
864-833-4289
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
253345027 (South Carolina)
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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