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South Carolina Department Of Juvenile Justice
Emotionally Disturbed Childrens' Residential Treatment Facility in Bennettsville, South Carolina
NPI 1407997034

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 Bennettsville, SC. The NPI Number for South Carolina Department Of Juvenile Justice is 1407997034 and holds a License No. (South Carolina).

The current practice location address for South Carolina Department Of Juvenile Justice is 620 Marlboro Rd, Bennettsville, SC and can be reached out via phone at 843-479-0420 and via fax at 843-479-0840.

Location: 620 Marlboro Rd, Bennettsville, SC, 29221-1069
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407997034
Provider Name
South Carolina Department Of Juvenile Justice
Credential
Provider Entity Type
Organization
Address
620 Marlboro Rd, Bennettsville, SC, 29221-1069
Phone Number
843-479-0420
Fax Number
843-479-0840
Provider Enumeration Date
02/08/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DJJ048 05 SC
institution
Provider Business Practice Location Address Details
Address
620 Marlboro Rd
City
Bennettsville
State
South Carolina
Zip
29512-7733
Phone Number
843-479-0420
Fax Number
843-479-0840
person
Provider Business Mailing Address Details
Address
620 Marlboro Rd
City
Bennettsville
State
South Carolina
Zip
29512-7733
Phone Number
843-479-0420
Fax Number
843-479-0840
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
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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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