# BREAKWATER CENTER FOR DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS

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

## Provider details

- **NPI number:** 1154166270
- **Authorized official:** DR. SHAWNA MCCAFFERTY MD (OWNER / PHYSICIAN)
- **Authorized official phone:** (843) 708-0264

## Contact information

- **Practice address:** 494B SAVANNAH HWY, CHARLESTON, SC 29407-7275
- **Practice address phone:** (843) 259-2722
- **Mailing address:** 3019 ALLISON COVE DR, CHARLESTON, SC 29412-4971
- **Mailing address phone:** (843) 708-0264

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD1600X | Developmental Disabilities Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/29/2024
- **Last updated:** 06/29/2024