SOUTH CAROLINA DEPARTMENT OF JUVENILE JUSTICE is a residential treatment facility emotionally disturbed children in Georgetown, 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 1871633081. The provider is registered as an organization entity type.
The provider Other Name Is Djj Georgetown Marine Inst.
The provider's business location address is:
1590 EAST CCC ROAD
HIGHWAY 17 SOUTH
GEORGETOWN, SC
ZIP 29440
Phone: (864) 546-5478
Fax: (843) 546-5652
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 2/7/2007 and was last updated on 8/22/2020.