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South Carolina Department Of Juvenile Justice
Emotionally Disturbed Childrens' Residential Treatment Facility in Fountain Inn, South Carolina
NPI 1629119318

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 Fountain Inn, SC. The NPI Number for South Carolina Department Of Juvenile Justice is 1629119318 and holds a License No. (South Carolina).

The current practice location address for South Carolina Department Of Juvenile Justice is 810 Dunklin Bridge Road, Fountain Inn, SC and can be reached out via phone at 864-243-5557 and via fax at 864-243-3339.

Location: 810 Dunklin Bridge Road, Fountain Inn, SC, 29221-1069
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629119318
Provider Name
South Carolina Department Of Juvenile Justice
Credential
Provider Entity Type
Organization
Address
810 Dunklin Bridge Road, Fountain Inn, SC, 29221-1069
Phone Number
864-243-5557
Fax Number
864-243-3339
Provider Enumeration Date
02/08/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DJJ052 05 SC
institution
Provider Business Practice Location Address Details
Address
810 Dunklin Bridge Road
City
Fountain Inn
State
South Carolina
Zip
29644
Phone Number
864-243-5557
Fax Number
864-243-3339
person
Provider Business Mailing Address Details
Address
810 Dunklin Bridge Road
City
Fountain Inn
State
South Carolina
Zip
29644
Phone Number
864-243-5557
Fax Number
864-243-3339
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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