Transitions of Golden Shields LLC
NPI #1013572940 in Blythewood, South Carolina
Provider Information
- NPI Number
- 1013572940
- Entity Type
- Organization
- Organization Name
- Transitions of Golden Shields LLC
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- May 6, 2019
- Last Updated
- May 6, 2019
Practice Location
- Address
- 85 WADING BIRD LOOP
- City
- Blythewood
- State
- South Carolina
- ZIP Code
- 29016-5906
- Phone
- (802) 250-1282
Authorized Official
- Name
- JOHNNIE C HARDY, MPA
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (802) 250-1282
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
| Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health |
| Case Management |
| Community/Behavioral Health |
| Clinic/Center - Community Health — Community Health |
| Meals |
| Lodging |
| Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children — Substance Abuse Treatment, Children |
| Residential Treatment Facility, Emotionally Disturbed Children |
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