NPI 1639415920

Individual

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Columbia, SC

Practice location

Address: 1725 Shivers Rd, Columbia, SC 29210-5413
Phone: (803) 896-5732
Fax: (803) 896-5723

Authorised official

Name: Jan Giesen
Title: Director of Social Work
Phone: (803) 896-4813

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 5322 (SC)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in South Carolina →

Registry record

NPI: 1639415920
Entity type: Organization
NPI issued: 14 Dec 2012
Record last updated: 14 Dec 2012

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.