Organization
TURNING POINT BOYS HOME, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN ONEAL JACKSON DO (DIRECTOR)
(843) 858-4425
Entity
Organization
Contact information
Practice address
3184 HUNTS MILL ROAD, CHESTERFIELD, SC 29709
(843) 498-7077
(843) 498-7077
Mailing address
3184 HUNTS MILL ROAD, CHESTERFIELD, SC 29709
(843) 498-7077
(843) 498-7077
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
CR1002414001GH
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
887MXH
—
SC
Enumeration date
02/09/2007
Last updated
07/17/2008
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