Organization
FAIR PLAY CAMP SCHOOL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDSON SCHROCK (DIRECTOR)
(864) 647-4311
Entity
Organization
Contact information
Practice address
347 WILDERNESS TRL, WESTMINSTER, SC 29693-3404
(864) 647-4311
(864) 647-4314
Mailing address
347 WILDERNESS TR, WESTMINSTER, SC 29693
(864) 647-4311
(864) 647-4314
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
SR-0008075001-CCI
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
980MXH
—
SC
Enumeration date
04/26/2006
Last updated
08/22/2020
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