Provider Demographics
NPI:1417023656
Name:SPECIALIZED ALTERNATIVE FOR FAMILIES AND YOUTH OF SOUTH CAROLINA, INC.
Entity Type:Organization
Organization Name:SPECIALIZED ALTERNATIVE FOR FAMILIES AND YOUTH OF SOUTH CAROLINA, INC.
Other - Org Name:SAFY OF SOUTH CAROLINA - CHARLESTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:STATE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTI
Authorized Official - Middle Name:
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-791-7328
Mailing Address - Street 1:10100 ELIDA RD
Mailing Address - Street 2:
Mailing Address - City:DELPHOS
Mailing Address - State:OH
Mailing Address - Zip Code:45833-9056
Mailing Address - Country:US
Mailing Address - Phone:419-695-8010
Mailing Address - Fax:419-695-0004
Practice Address - Street 1:4925 LACROSS RD
Practice Address - Street 2:SUITE #111
Practice Address - City:N CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29406-6510
Practice Address - Country:US
Practice Address - Phone:843-552-1220
Practice Address - Fax:843-552-0502
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SPECIALIZED ALTERNATIVE FOR FAMILIES AND YOUTH OF SOUTH CAROLINA, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-11-28
Last Update Date:2016-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management
No253J00000XAgenciesFoster Care Agency
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health