South Carolina Department Of Juvenile Justice in Patrick - Residential Treatment Facility, Emotionally Disturbed Children
South Carolina Department Of Juvenile Justice - NPI 1821138678
South Carolina Department Of Juvenile Justice is a Residential Treatment Facility, Emotionally Disturbed Children in Patrick, 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 1821138678. The last update date is 2020-08-22.
South Carolina Department Of Juvenile Justice's current location address is 2381 Campbell Lake Rd, Patrick, South Carolina. You can contact this provider via phone number 8439213000 and fax number 8439210937. The mailing address for South Carolina Department Of Juvenile Justice is 2381 Campbell Lake Rd, Patrick, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Carolina Department Of Juvenile Justice |
|---|---|
| Address | 2381 Campbell Lake Rd, Patrick, South Carolina |
| Phone Number | 8439213000 |
| Fax Number | 8439210937 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAID P |
|---|---|
| Authorized Official Name | Richardson L Mia |
| Telephone Number | 8038964751 |
NPI Number Detail
| NPI Number | 1821138678 |
|---|---|
| Provider Enumeration Date | 2007-02-08 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2381 Campbell Lake Rd |
|---|---|
| City | Patrick |
| State | South Carolina (SC) |
| Post Code | 295844016 |
| Phone Number | 8439213000 |
| Fax Number | 8439210937 |
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 |
|---|---|---|---|
| DJJ047 | SC | -- |
Post Comment/ Review Below
What is the South Carolina Department Of Juvenile Justice's 1821138678?
The South Carolina Department Of Juvenile Justice's NPI (National Provider Identifier) Number is 1821138678. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where South Carolina Department Of Juvenile Justice's facilities are geographically located?
The facilities of South Carolina Department Of Juvenile Justice are physically situated at the following location: 2381 Campbell Lake Rd, Patrick, SC, 295844016.
What is South Carolina Department Of Juvenile Justice's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for South Carolina Department Of Juvenile Justice is Residential Treatment Facility, Emotionally Disturbed Children, and the taxonomy code that categorizes this field of expertise is 322D00000X.
On what date was the 1821138678 assigned to South Carolina Department Of Juvenile Justice?
The South Carolina Department Of Juvenile Justice was issued its 1821138678 on 2007-02-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
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.
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