Whalio Doctors

NPI 1013572940

Transitions of Golden Shields LLC

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Blythewood, SC

Practice location

Address
85 Wading Bird Loop, Blythewood, SC 29016-5906
Phone
(802) 250-1282
Fax
(800) 781-1997
Mailing address
PO Box 188, Blythewood, SC 29016-0188

Authorised official

Name
Johnnie C Hardy
Title
Chief Executive Officer
Phone
(802) 250-1282

Registered specialties (9)

Emotionally Disturbed Childrens' Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 322D00000X
Meals Provider
Other Service Providers Taxonomy 174200000X
Lodging Provider
Other Service Providers Taxonomy 177F00000X
Case Management Agency
Agencies Taxonomy 251B00000X
Community/Behavioral Health Agency
Agencies Taxonomy 251S00000X
Community Health Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QC1500X
Adolescent and Children Mental Health Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QM0855X
Mental Illness Community Based Residential Treatment Facility
Residential Treatment Facilities Taxonomy 320800000X
Children's Substance Abuse Rehabilitation Facility
Residential Treatment Facilities Taxonomy 3245S0500X

Registry record

NPI
1013572940
Entity type
Organization
NPI issued
6 May 2019
Record last updated
6 May 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.