S.C DEPARTMENT OF JUVENILE JUSTICE NPI 1205175452

NPI Information

S.C 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. S.C DEPARTMENT OF JUVENILE JUSTICE NPI is 1205175452. The provider is registered as an organization entity type.

The provider's business location address is:

2112 CHANDLER AVE
COLUMBIA, SC
ZIP 29210-204
Phone: (803) 896-9784

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 2/7/2013 and was last updated on 2/7/2013.

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:

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