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CAMP BENNETTSVILLE I
NPI 1407997034
Residential Treatment Facility, Emotionally Disturbed Children in Bennettsville, SC

Active since February 08, 2007
620 MARLBORO RD, BENNETTSVILLE, SC 29512(843) 479-0420(843) 479-0840 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Camp Bennettsville I NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAMP BENNETTSVILLE I (NPI 1407997034) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Bennettsville, South Carolina and active in the NPI registry since February 2007. The organization lists Mia L Richardson, Medicaid Project Administrator, as its authorized official.

NPPES Registry Identity

NPI1407997034
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameSOUTH CAROLINA DEPARTMENT OF JUVENILE JUSTICE
Location Address620 MARLBORO RDBennettsville, SC 29512-7733
Mailing AddressPo Box 21069Columbia, SC 29221-1069 · (803) 896-4751 · Fax (803) 896-8473
Phone(843) 479-0420
Fax(843) 479-0840
Organization SubpartNo
Authorized OfficialMia L RichardsonMedicaid Project Administrator · (803) 896-4751
Enumeration DateFebruary 8, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1407997034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
620 MARLBORO RD, Bennettsville, SC 29512
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Other Names 1

Other NameCamp Bennettsville I

Other Identifiers 1

MedicaidDJJ048SC

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOUTH CAROLINA DEPARTMENT OF JUVENILE JUSTICE
Residential Treatment Facility, Emotionally Disturbed Children
620 MARLBORO RD
BENNETTSVILLE, SC 29512
Marlboro County (843) 479-0420

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Carolina Department Of Juvenile Justice's NPI number?

The NPI number for South Carolina Department Of Juvenile Justice is 1407997034. It was assigned to this organization in the NPPES registry on February 8, 2007. The provider is also known as Camp Bennettsville I.

Where is South Carolina Department Of Juvenile Justice located?

South Carolina Department Of Juvenile Justice is located at 620 Marlboro Rd, Bennettsville, SC 29512. The listed phone number is (843) 479-0420.

What is South Carolina Department Of Juvenile Justice's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for South Carolina Department Of Juvenile Justice was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.