Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Individual

Organization Emotionally Disturbed Childrens' Residential Treatment Facility · NPI 1639415920

Individual is an Emotionally Disturbed Childrens' Residential Treatment Facility in Columbia, South Carolina. Licensed in South Carolina. Registered with an NPI since 2012.

Licensed in
SC
In the registry since
2012

Practice location Address checks out

1725 Shivers Rd
Columbia, SC 29210-5413
Phone: (803) 896-5732
Fax: (803) 896-5723
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emotionally Disturbed Childrens' Residential Treatment Facility (primary) Taxonomy 322D00000X · Licence 5322 (SC)

Record details

NPI number1639415920
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jan Giesen — Director Of Social Work · (803) 896-4813
NPI enumeratedDecember 14, 2012
Last updated in NPPESDecember 14, 2012
Mailing address1725 Shivers Rd, Columbia, SC 29210-5413

Other providers in Columbia