# LUTHERAN FAMILY SERVICES IN THE CAROLINAS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124164355
- **Authorized official:** MR. DWIGHT MURRAY (AR AND CONTRACTS MANAGER)
- **Authorized official phone:** (919) 861-2850

## Contact information

- **Practice address:** 4230 TIMBERLANE DR, COLUMBIA, SC 29205-4941
- **Practice address phone:** (803) 790-9783
- **Mailing address:** PO BOX 12287, RALEIGH, NC 27605-2287
- **Mailing address phone:** (919) 832-2620

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | SR-0008194001 GH | SC | Yes |

## Other

- **Enumeration date:** 01/29/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 895MXH | — | SC |