South Carolina Department of Juvenile Justice
South Carolina Department of Juvenile Justice is an Emotionally Disturbed Childrens' Residential Treatment Facility in Greenville, South Carolina. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
423 Vardry StGreenville, SC 29601-3307
Phone: (864) 233-5574
Fax: (864) 233-7526
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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 number | 1710027578 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mia Richardson — Medicaid Project Administrator · (803) 896-4751 |
| Other names | Djj Greenville Group Home |
| NPI enumerated | February 8, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | Po Box 21069, Columbia, SC 29221-1069 |
Other providers in Greenville
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Crossroads at Mountain Meadows, Inc
9528 Old White Horse Rd, Greenville, SC 29617-6914 · (864) 246-0266
-
Greenvillehealth System
701 Grove Rd, Greenville, SC 29605-5611 · (864) 455-8988
-
Prisma Health-Upstate
701 Grove Rd, Greenville, SC 29605-4210 · (864) 455-7000