Whalio Doctors

NPI 1124164355

Lutheran Family Services in the Carolinas

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Columbia, SC

Practice location

Address
4230 Timberlane Dr, Columbia, SC 29205-4941
Phone
(803) 790-9783
Mailing address
PO Box 12287, Raleigh, NC 27605-2287

Authorised official

Name
Dwight Murray
Title
Ar and Contracts Manager
Phone
(919) 861-2850

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 322D00000X Licence SR-0008194001 GH (SC)

Registry record

NPI
1124164355
Entity type
Organization
NPI issued
29 Jan 2007
Record last updated
22 Aug 2020

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.