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South Carolina Department Of Juvenile Justice
Emotionally Disturbed Childrens' Residential Treatment Facility in Georgetown, South Carolina
NPI 1871633081

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 Georgetown, SC. The NPI Number for South Carolina Department Of Juvenile Justice is 1871633081 and holds a License No. (South Carolina).

The current practice location address for South Carolina Department Of Juvenile Justice is 1590 East Ccc Road, Georgetown, SC and can be reached out via phone at 864-546-5478 and via fax at 843-546-5652.

Location: 1590 East Ccc Road, Georgetown, SC, 29221-1069
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1871633081
Provider Name
South Carolina Department Of Juvenile Justice
Credential
Provider Entity Type
Organization
Address
1590 East Ccc Road, Georgetown, SC, 29221-1069
Phone Number
864-546-5478
Fax Number
843-546-5652
Provider Enumeration Date
02/07/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DJJ057 05 SC
institution
Provider Business Practice Location Address Details
Address
1590 East Ccc Road
City
Georgetown
State
South Carolina
Zip
29440
Phone Number
864-546-5478
Fax Number
843-546-5652
person
Provider Business Mailing Address Details
Address
1590 East Ccc Road
City
Georgetown
State
South Carolina
Zip
29440
Phone Number
864-546-5478
Fax Number
843-546-5652
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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