Organization
CHARLESTON ORPHAN HOUSE, INC.
Active
Other names
Carolina Youth Development Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA KELLEY DUNCAN (CHIEF EXECUTIVE OFFICER)
(843) 266-5222
Entity
Organization
Contact information
Practice address
5055 LACKAWANNA BLVD, NORTH CHARLESTON, SC 29405-4529
(843) 266-5200
(843) 266-5201
Mailing address
5055 LACKAWANNA BLVD, NORTH CHARLESTON, SC 29405-4529
(843) 266-5200
(843) 266-5201
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
SR-0008037001-CCI
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
992MXH
—
SC
Enumeration date
12/13/2006
Last updated
09/11/2025
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