INDIVIDUAL

Residential Treatment Facility, Emotionally Disturbed Children

Active Organization
NPI: 1639415920

Practice Address

1725 SHIVERS RD
Columbia, SC 29210

Phone: (803) 896-5732

Specialties

Specialty Code Primary License
Residential Treatment Facility, Emotionally Disturbed Children 322D00000X Yes 5322 (SC)

Frequently Asked Questions

NPI 1639415920 is the National Provider Identifier for INDIVIDUAL, a Residential Treatment Facility, Emotionally Disturbed Children provider located in Columbia, SC. This NPI was enumerated on December 14, 2012.

Quick Facts

NPI
1639415920
Type
Organization
Enumerated
Dec 14, 2012
Last Updated
Dec 14, 2012

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