Camp Bennettsville I

LBN: South Carolina Department Of Juvenile Justice
Camp Bennettsville I is an health care organization with primary practice located at 620 Marlboro Rd , Bennettsville SC 29512-7733. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. South Carolina Department Of Juvenile Justice can be contacted via phone (843) 479-0420, or through Richardson, Mia L via phone (803) 896-4751.

Contact Information

Primary practice address
620 Marlboro Rd Bennettsville SC 29512-7733
Phone: (843) 479-0420
Fax: (843) 479-0840
Website:
Map and Directions
Authorized official contact:
Name: Richardson, Mia L
Phone: (803) 896-4751

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X

Profile Details

NPI number 1407997034
LBN Legal business name South Carolina Department Of Juvenile Justice
DBA Doing business as Camp Bennettsville I
Authorized official Richardson, Mia L
Entity Organization
Organization subpart 1 No
Enumeration date Feb 8th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407997034 NPPES
South Carolina MEDICAID DJJ048

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