CAROLINA CHILDREN'S HOME NPI 1912173733

NPI Information

CAROLINA CHILDREN'S HOME 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. CAROLINA CHILDREN'S HOME NPI is 1912173733. The provider is registered as an organization entity type.

The provider's business location address is:

1154 SUNNYSIDE DR
COLUMBIA, SC
ZIP 29204
Phone: (803) 787-2306
Fax: (803) 790-6554

The provider's authorized official is John R Kessler, Jr .
The authorized official title is Executive Director and has the following contact phone number (803) 790-6541.

The CLIA number assigned to this NPI record is 42D2134448 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/1/2008 and was last updated on 3/23/2015.

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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