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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