South Carolina Department Of Juvenile Justice in Columbia - Residential Treatment Facility, Emotionally Disturbed Children
South Carolina Department Of Juvenile Justice - NPI 1245370097
South Carolina Department Of Juvenile Justice is a Residential Treatment Facility, Emotionally Disturbed Children in Columbia, 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 1245370097. The last update date is 2020-08-22.
South Carolina Department Of Juvenile Justice's current location address is Po Box 21069, Columbia, South Carolina. You can contact this provider via phone number 8038964751 and fax number 8038698473. The mailing address for South Carolina Department Of Juvenile Justice is Po Box 21069, Columbia, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Carolina Department Of Juvenile Justice |
|---|---|
| Address | Po Box 21069, Columbia, South Carolina |
| Phone Number | 8038964751 |
| Fax Number | 8038698473 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAID P |
|---|---|
| Authorized Official Name | Richardson L Mia |
| Telephone Number | 8038964751 |
NPI Number Detail
| NPI Number | 1245370097 |
|---|---|
| Provider Enumeration Date | 2007-02-08 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 21069 |
|---|---|
| City | Columbia |
| State | South Carolina (SC) |
| Post Code | 292211069 |
| Phone Number | 8038964751 |
| Fax Number | 8038698473 |
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 |
|---|---|---|---|
| DJJ054 | SC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to South Carolina Department Of Juvenile Justice by the Centers for Medicare & Medicaid Services?
The South Carolina Department Of Juvenile Justice has been assigned the NPI (National Provider Identifier) 1245370097 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
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: Po Box 21069, Columbia, SC, 292211069.
What is the South Carolina Department Of Juvenile Justice's specialty and taxonomy code?
The South Carolina Department Of Juvenile Justice's specialty is Residential Treatment Facility, Emotionally Disturbed Children, and the corresponding taxonomy code is 322D00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1245370097 to South Carolina Department Of Juvenile Justice?
The South Carolina Department Of Juvenile Justice received its 1245370097 assignment from the Centers for Medicare & Medicaid Services on 2007-02-08.
As of what date was the information regarding South Carolina Department Of Juvenile Justice, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to South Carolina Department Of Juvenile Justice, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.