South Carolina Department Of Juvenile Justice in Columbia - Residential Treatment Facility, Emotionally Disturbed Children
South Carolina Department Of Juvenile Justice - NPI 1710027644
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 1710027644. 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 8038968473. 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 | 8038968473 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAID P |
|---|---|
| Authorized Official Name | Richardson L Mia |
| Telephone Number | 8038964751 |
NPI Number Detail
| NPI Number | 1710027644 |
|---|---|
| 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 | 8038968473 |
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 |
|---|---|---|---|
| DJJ064 | SC | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to South Carolina Department Of Juvenile Justice?
The South Carolina Department Of Juvenile Justice has been issued the NPI (National Provider Identifier) 1710027644 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is 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.
When was the South Carolina Department Of Juvenile Justice's 1710027644 issued?
The South Carolina Department Of Juvenile Justice's 1710027644 was issued 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.