# SOUTH CAROLINA YOUTH ADVOCATE PROGRAM

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

## Provider details

- **NPI number:** 1265853238
- **Authorized official:** MR. JOSHUA CAUGHMAN M.A. (DIRECTOR OF COMMUNITY-BASED SERVICE)
- **Authorized official phone:** (803) 779-5500

## Contact information

- **Practice address:** 140 STONERIDGE DR, SUITE 350, COLUMBIA, SC 29210-8200
- **Practice address phone:** (803) 779-5500
- **Practice address fax:** (803) 779-8444
- **Mailing address:** 140 STONERIDGE DRIVE, SUITE 350, COLUMBIA, SC 29201-8200
- **Mailing address phone:** (803) 779-5500
- **Mailing address fax:** (803) 779-8444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/18/2013
- **Last updated:** 12/18/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 998MXH | — | SC |