Provider Demographics
NPI:1528041266
Name:NEW FOUNDATIONS CHILDREN AND FAMILY SERVICES, INC.
Entity Type:Organization
Organization Name:NEW FOUNDATIONS CHILDREN AND FAMILY SERVICES, INC.
Other - Org Name:ANDERSON YOUTH ASSOCIATION
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:FINANCE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:L
Authorized Official - Last Name:HARRINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-225-1628
Mailing Address - Street 1:2300 STANDRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29625-3211
Mailing Address - Country:US
Mailing Address - Phone:864-225-1628
Mailing Address - Fax:864-260-4699
Practice Address - Street 1:2300 STANDRIDGE RD
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29625-3211
Practice Address - Country:US
Practice Address - Phone:864-225-1628
Practice Address - Fax:864-260-4699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCSR-0008145001-CCI322D00000X
SCSR-0008152001-CCI322D00000X
SC322D00000X, 322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCGP1385Medicaid
SC994MXHMedicaid
SCCBT016Medicaid