| Sc Department Of Juvenile Justice | |
|
214 E Main St Rm A 150 Pickens SC 29671-2832 | |
| (864) 878-7560 | |
| Not Available |
| Full Name | Sc Department Of Juvenile Justice |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 214 E Main St, Pickens, South Carolina |
| Authorized Official Name and Position | Margaret Barber (AGENCY DIRECTOR) |
| Authorized Official Contact | 8038965940 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sc Department Of Juvenile Justice Po Box 21069 Columbia SC 29221-1069 Ph: () - | Sc Department Of Juvenile Justice 214 E Main St Rm A 150 Pickens SC 29671-2832 Ph: (864) 878-7560 |
| NPI Number | 1346594108 |
|---|---|
| Provider Enumeration Date | 11/01/2012 |
| Last Update Date | 11/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346594108 | NPI | - | NPPES |
| DJJ039 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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