institution
South Carolina Department Of Juvenile Justice
Emotionally Disturbed Childrens' Residential Treatment Facility in Greenville, South Carolina
NPI 1710027578

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 Greenville, SC. The NPI Number for South Carolina Department Of Juvenile Justice is 1710027578 and holds a License No. (South Carolina).

The current practice location address for South Carolina Department Of Juvenile Justice is 423 Vardry St, Greenville, SC and can be reached out via phone at 864-233-5574 and via fax at 864-233-7526. 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: 803-896-4751).

Location: 423 Vardry St, Greenville, SC, 29221-1069
institution
Provider Profile Details
NPI Number
1710027578
Provider Name
South Carolina Department Of Juvenile Justice
Credential
Provider Entity Type
Organization
Address
423 Vardry St, Greenville, SC, 29221-1069
Phone Number
864-233-5574
Fax Number
864-233-7526
Provider Enumeration Date
02/08/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DJJ058 05 SC
institution
Provider Business Practice Location Address Details
Address
423 Vardry St
City
State
Zip
29601-3307
Phone Number
864-233-5574
Fax Number
864-233-7526
person
Provider Business Mailing Address Details
Address
423 Vardry St
City
State
Zip
29601-3307
Phone Number
864-233-5574
Fax Number
864-233-7526
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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