South Carolina Department Of Juvenile Justice in Greenville - Residential Treatment Facility, Emotionally Disturbed Children
South Carolina Department Of Juvenile Justice - NPI 1710027578
South Carolina Department Of Juvenile Justice is a Residential Treatment Facility, Emotionally Disturbed Children in Greenville, 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 1710027578. The last update date is 2020-08-22.
South Carolina Department Of Juvenile Justice's current location address is 423 Vardry St, Greenville, South Carolina. You can contact this provider via phone number 8642335574 and fax number 8642337526. The mailing address for South Carolina Department Of Juvenile Justice is 423 Vardry St, Greenville, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Carolina Department Of Juvenile Justice |
|---|---|
| Address | 423 Vardry St, Greenville, South Carolina |
| Phone Number | 8642335574 |
| Fax Number | 8642337526 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAID P |
|---|---|
| Authorized Official Name | Richardson L Mia |
| Telephone Number | 8038964751 |
NPI Number Detail
| NPI Number | 1710027578 |
|---|---|
| Provider Enumeration Date | 2007-02-08 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 423 Vardry St |
|---|---|
| City | Greenville |
| State | South Carolina (SC) |
| Post Code | 296013307 |
| Phone Number | 8642335574 |
| Fax Number | 8642337526 |
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DJJ058 | SC | -- |
Post Comment/ Review Below
What is the South Carolina Department Of Juvenile Justice's 1710027578?
The South Carolina Department Of Juvenile Justice's NPI (National Provider Identifier) Number is 1710027578. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of South Carolina Department Of Juvenile Justice?
The South Carolina Department Of Juvenile Justice is situated at 423 Vardry St, in the city of Greenville, state of SC, with the zip code 296013307.
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 1710027578 to South Carolina Department Of Juvenile Justice?
The Centers for Medicare & Medicaid Services assigned the 1710027578 to South Carolina Department Of Juvenile Justice on 2007-02-08.
As of what date were the South Carolina Department Of Juvenile Justice's details last updated?
The information pertaining to the South Carolina Department Of Juvenile Justice, including its address, specialty, and other details, was most recently updated on 2020-08-22.
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