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Charleston Orphan House, Inc.
Emotionally Disturbed Childrens' Residential Treatment Facility in North Charleston, South Carolina
NPI 1366503443

Charleston Orphan House, Inc. is a Emotionally Disturbed Childrens' Residential Treatment Facility based in North Charleston, SC. Charleston Orphan House, Inc. practices in North Charleston, SC. The NPI Number for Charleston Orphan House, Inc. is 1366503443 and holds a License No. (South Carolina).

The current practice location address for Charleston Orphan House, Inc. is 5055 Lackawanna Blvd, North Charleston, SC and can be reached out via phone at 843-266-5200 and via fax at 843-266-5201.

Location: 5055 Lackawanna Blvd, North Charleston, SC, 29405-4529
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366503443
Provider Name
Charleston Orphan House, Inc.
Credential
Provider Entity Type
Organization
Address
5055 Lackawanna Blvd, North Charleston, SC, 29405-4529
Phone Number
843-266-5200
Fax Number
843-266-5201
Provider Enumeration Date
12/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
992MXH 05 SC
institution
Provider Business Practice Location Address Details
Address
5055 Lackawanna Blvd
City
North Charleston
State
South Carolina
Zip
29405-4529
Phone Number
843-266-5200
Fax Number
843-266-5201
person
Provider Business Mailing Address Details
Address
5055 Lackawanna Blvd
City
North Charleston
State
South Carolina
Zip
29405-4529
Phone Number
843-266-5200
Fax Number
843-266-5201
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
SR-0008037001-CCI (South Carolina)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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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