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 1871633081

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

In the registry since
2007

Practice location Address checks out

1590 E Ccc Road Highway 17 S
Georgetown, SC 29440
Phone: (864) 546-5478
Fax: (843) 546-5652
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 number1871633081
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mia Richardson — Medicaid Project Administrator · (803) 896-4751
Other names Djj Georgetown Marine Inst
NPI enumeratedFebruary 7, 2007
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 21069, Columbia, SC 29221-1069