South Carolina Department Of Juvenile Justice in Fountain Inn - Residential Treatment Facility, Emotionally Disturbed Children
South Carolina Department Of Juvenile Justice - NPI 1841331717
South Carolina Department Of Juvenile Justice is a Residential Treatment Facility, Emotionally Disturbed Children in Fountain Inn, South Carolina. South Carolina Department Of Juvenile Justice practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for South Carolina Department Of Juvenile Justice is 1841331717. The last update date is 2020-08-22.
South Carolina Department Of Juvenile Justice's current location address is 810 Dunklin Bridge Road, Fountain Inn, South Carolina. You can contact this provider via phone number 8642435557 and fax number 8642433339. The mailing address for South Carolina Department Of Juvenile Justice is 810 Dunklin Bridge Road, Fountain Inn, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Carolina Department Of Juvenile Justice |
|---|---|
| Address | 810 Dunklin Bridge Road, Fountain Inn, South Carolina |
| Phone Number | 8642435557 |
| Fax Number | 8642433339 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAID P |
|---|---|
| Authorized Official Name | Richardson L Mia |
| Telephone Number | 8038964751 |
NPI Number Detail
| NPI Number | 1841331717 |
|---|---|
| Provider Enumeration Date | 2007-02-12 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 810 Dunklin Bridge Road |
|---|---|
| City | Fountain Inn |
| State | South Carolina (SC) |
| Post Code | 29644 |
| Phone Number | 8642435557 |
| Fax Number | 8642433339 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
|
Definition: 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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DJJ053 | SC | -- |
Post Comment/ Review Below
What is the South Carolina Department Of Juvenile Justice's unique identification number?
The South Carolina Department Of Juvenile Justice has been assigned the NPI (National Provider Identifier) Number 1841331717 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where South Carolina Department Of Juvenile Justice is physically located?
The South Carolina Department Of Juvenile Justice is physically situated at the following address: 810 Dunklin Bridge Road, Fountain Inn, SC, 29644.
What is South Carolina Department Of Juvenile Justice's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for South Carolina Department Of Juvenile Justice is Residential Treatment Facility, Emotionally Disturbed Children, and the taxonomy code that classifies this field of practice is 322D00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1841331717 to South Carolina Department Of Juvenile Justice?
The Centers for Medicare & Medicaid Services assigned the 1841331717 to South Carolina Department Of Juvenile Justice on 2007-02-12.
When was the information regarding South Carolina Department Of Juvenile Justice most recently updated?
The details pertaining to the South Carolina Department Of Juvenile Justice, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.