Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Individual

Emotionally Disturbed Childrens' Residential Treatment Facility in Columbia, SC · enumerated 2012 · authorized official Jan Giesen, Director of Social Work.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1639415920

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Registry record

Entity type Organization (Type 2)

Legal business name Individual

Practice address 1725 Shivers Rd, Columbia, SC, 29210

Phone (803) 896-5732

Fax (803) 896-5723

Enumeration date Dec 14, 2012

Last updated in NPPES Dec 14, 2012

Taxonomy & classification

322D00000X Emotionally Disturbed Childrens' Residential Treatment Facility Residential Treatment Facilities · License 5322 (SC) Primary

Authorized official

Name Jan Giesen

Title Director of Social Work

Phone (803) 896-4813

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Individual located?

The practice location on file with NPPES is in Columbia, SC.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2012-12-14. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-12-14.