# CAROLINA CHILDREN'S HOME

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

## Provider details

- **NPI number:** 1912173733
- **Authorized official:** MR. JOHN R KESSLER, JR (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (803) 790-6541

## Contact information

- **Practice address:** 1154 SUNNYSIDE DR, COLUMBIA, SC 29204
- **Practice address phone:** (803) 787-2306
- **Practice address fax:** (803) 790-6554
- **Mailing address:** PO BOX 4465, COLUMBIA, SC 29204
- **Mailing address phone:** (803) 790-6541
- **Mailing address fax:** (803) 790-6554

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | SR-00019238011CCI | SC | Yes |

## Other

- **Enumeration date:** 05/01/2008
- **Last updated:** 03/23/2015