Organization
BABCOCK CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDITH E. JOHNSON (PRESIDENT/CEO)
(803) 799-1970
Entity
Organization
Contact information
Practice address
2725 BANNY JONES AVE, WEST COLUMBIA, SC 29170-2109
(803) 799-1970
(803) 799-3418
Mailing address
PO BOX 4389, WEST COLUMBIA, SC 29171-4389
(803) 799-1970
(803) 799-3418
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
SC
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
SC
Other
Enumeration date
02/28/2012
Last updated
02/28/2012
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