Organization
SOUTH CAROLINA YOUTH ADVOCATE PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSHUA CAUGHMAN M.A. (DIRECTOR OF COMMUNITY-BASED SERVICE)
(803) 779-5500
Entity
Organization
Contact information
Practice address
140 STONERIDGE DR, SUITE 350, COLUMBIA, SC 29210-8200
(803) 779-5500
(803) 779-8444
Mailing address
140 STONERIDGE DRIVE, SUITE 350, COLUMBIA, SC 29201-8200
(803) 779-5500
(803) 779-8444
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
998MXH
—
SC
Enumeration date
12/18/2013
Last updated
12/18/2013
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