CHARLESTON ORPHAN HOUSE INC NPI 1306914056

NPI Information

CHARLESTON ORPHAN HOUSE, INC is a residential treatment facility emotionally disturbed children in North Charleston, 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. CHARLESTON ORPHAN HOUSE, INC NPI is 1306914056. The provider is registered as an organization entity type.
The provider Is Doing Business As Carolina Youth Development Center.

The provider's business location address is:

5055 LACKAWANNA BLVD
NORTH CHARLESTON, SC
ZIP 29405-529
Phone: (843) 266-5200
Fax: (843) 266-5201

The provider's authorized official is Barbara Kelley Duncan .
The authorized official title is Chief Executive Officer and has the following contact phone number (843) 266-5222.

The enumeration date for this NPI number is 12/1/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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