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Organization
S.C DEPARTMENT OF JUVENILE JUSTICE
Active
Organization
S.C DEPARTMENT OF JUVENILE JUSTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAN GIESEN LIMSW (DIRECTOR OF SOCIAL WORK)
(803) 896-4813
Entity
Organization
Contact information
Practice address
2112 CHANDLER AVE, COLUMBIA, SC 29210-6204
(803) 896-9784
Mailing address
2112 CHANDLER AVE, COLUMBIA, SC 29210-6204
(803) 896-9784
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
3627
SC
Other
Enumeration date
02/07/2013
Last updated
02/07/2013
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