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

South Carolina Department of Juvenile Justice

Organization Emotionally Disturbed Childrens' Residential Treatment Facility · NPI 1083755615

South Carolina Department of Juvenile Justice is an Emotionally Disturbed Childrens' Residential Treatment Facility in Columbia, South Carolina. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

1600 Shivers Rd
Columbia, SC 29210-5429
Phone: (803) 896-9122
Fax: (803) 896-8476
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

Record details

NPI number1083755615
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mia Richardson — Medicaid Project Administrator · (803) 896-4751
Other names Gateways Group Home
NPI enumeratedFebruary 8, 2007
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 21069, Columbia, SC 29221-1069

Other providers in Columbia