South Carolina Department Of Juvenile Justice in Clinton - Residential Treatment Facility, Emotionally Disturbed Children
South Carolina Department Of Juvenile Justice - NPI 1891835799
South Carolina Department Of Juvenile Justice is a Residential Treatment Facility, Emotionally Disturbed Children in Clinton, 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 1891835799. The last update date is 2020-08-22.
South Carolina Department Of Juvenile Justice's current location address is 20238 Highway 72 E, Clinton, South Carolina. You can contact this provider via phone number 8648334505 and fax number 8646824507. The mailing address for South Carolina Department Of Juvenile Justice is 20238 Highway 72 E, Clinton, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Carolina Department Of Juvenile Justice |
|---|---|
| Address | 20238 Highway 72 E, Clinton, South Carolina |
| Phone Number | 8648334505 |
| Fax Number | 8646824507 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAID P |
|---|---|
| Authorized Official Name | Richardson L Mia |
| Telephone Number | 8038964751 |
NPI Number Detail
| NPI Number | 1891835799 |
|---|---|
| Provider Enumeration Date | 2007-02-08 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 20238 Highway 72 E |
|---|---|
| City | Clinton |
| State | South Carolina (SC) |
| Post Code | 293254442 |
| Phone Number | 8648334505 |
| Fax Number | 8646824507 |
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 |
|---|---|---|---|
| DJJ061 | SC | -- |
Post Comment/ Review Below
What is the unique 10-digit identification 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) 1891835799 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of South Carolina Department Of Juvenile Justice?
The South Carolina Department Of Juvenile Justice is situated at 20238 Highway 72 E, in the city of Clinton, state of SC, with the zip code 293254442.
What is the South Carolina Department Of Juvenile Justice's area of specialization and corresponding taxonomy classification?
The South Carolina Department Of Juvenile Justice's specialty field is Residential Treatment Facility, Emotionally Disturbed Children, and it falls under the taxonomy code 322D00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1891835799 to South Carolina Department Of Juvenile Justice?
The Centers for Medicare & Medicaid Services assigned the 1891835799 to South Carolina Department Of Juvenile Justice on 2007-02-08.
As of what date were the details related to South Carolina Department Of Juvenile Justice most recently updated or revised?
The information pertaining to South Carolina Department Of Juvenile Justice, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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