Organization
CHARLESTON ORPHAN HOUSE
Active
Other names
Carolina Youth Development Center
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA KELLEY DUNCAN (CHIEF EXECUTIVE OFFICER)
(843) 266-5200
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
251S00000X
Community/Behavioral Health Agency
Primary
251340133
SC
Other
Enumeration date
02/15/2012
Last updated
02/15/2012
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