SOUTH CAROLINA DEPARTMENT OF JUVENILE JUSTICE is a residential treatment facility emotionally disturbed children in Columbia, SC. The provider is 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. SOUTH CAROLINA DEPARTMENT OF JUVENILE JUSTICE NPI is 1083755615. The provider is registered as an organization entity type.
The provider Other Name Is Gateways Group Home.
The provider's business location address is:
1600 SHIVERS RD
COLUMBIA, SC
ZIP 29210-429
Phone: (803) 896-9122
Fax: (803) 896-8476
The provider's authorized official is Mia L Richardson .
The authorized official title is Medicaid Project Administrator and has the following contact phone number (803) 896-4751.
The enumeration date for this NPI number is 2/8/2007 and was last updated on 8/22/2020.