# ADJUTANT GENERAL OF SC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SC Youth Challenge Academy @ Camp Long
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306032214
- **Authorized official:** JACKIE FOGLE (DIRECTOR)
- **Authorized official phone:** (803) 331-6675

## Contact information

- **Practice address:** 5471 LEESBURG RD., EASTOVER, SC 29044-9184
- **Practice address phone:** (803) 832-4876
- **Practice address fax:** (803) 832-4880
- **Mailing address:** 1 NATIONAL GUARD RD, COLUMBIA, SC 29201-4752
- **Mailing address phone:** (803) 331-6675

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | PR38913 | SC | Yes |

## Other

- **Enumeration date:** 09/25/2007
- **Last updated:** 06/24/2010