INDIVIDUAL 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. INDIVIDUAL NPI is 1639415920. The provider is registered as an organization entity type.
The provider's business location address is:
1725 SHIVERS RD
COLUMBIA, SC
ZIP 29210-413
Phone: (803) 896-5732
Fax: (803) 896-5723
The provider's authorized official is Jan Giesen .
The authorized official title is Director Of Social Work and has the following contact phone number (803) 896-4813.
The enumeration date for this NPI number is 12/14/2012 and was last updated on 12/14/2012.