Organization
CAROLINA CHILDREN'S HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN R KESSLER, JR (EXECUTIVE DIRECTOR)
(803) 790-6541
Entity
Organization
Contact information
Practice address
1154 SUNNYSIDE DR, COLUMBIA, SC 29204
(803) 787-2306
(803) 790-6554
Mailing address
PO BOX 4465, COLUMBIA, SC 29204
(803) 790-6541
(803) 790-6554
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
SR-00019238011CCI
SC
Other
Enumeration date
05/01/2008
Last updated
03/23/2015
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