CHARLESTON ORPHAN HOUSE INC. NPI 1366503443

NPI Information

CHARLESTON ORPHAN HOUSE, INC. is an adolescent and children mental health clinic center in North Charleston, SC. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. CHARLESTON ORPHAN HOUSE, INC. NPI is 1366503443. 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 12/13/2006 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

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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