Organization
EPWORTH CHILDREN'S HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEDDI T GARRICK (HR ADMIN ASSISTANT)
(803) 256-7394
Entity
Organization
Contact information
Practice address
3201 TRENHOLM RD, COLUMBIA, SC 29204-3371
(803) 256-7394
Mailing address
PO BOX 50466, COLUMBIA, SC 29250-0466
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
253J00000X
Foster Care Agency
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
Other
Enumeration date
11/26/2019
Last updated
11/26/2019
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