Organization Active NPI

Specialized Alternative for Families and Youth of South Carolina, Inc.

  • Community/Behavioral Health Agency
  • N Charleston, SC
National Provider Identifier
1417023656
Registry record updated Jun 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SPECIALIZED ALTERNATIVE FOR FAMILIES AND YOUTH OF SOUTH CAROLINA, INC.
Practice address
4925 Lacross Rd
Suite #111
N Charleston, SC 29406-6510
Phone
(843) 552-1220
Fax
(843) 552-0502
NPI assigned
Nov 28, 2006
Organization subpart
Yes
Parent organization
SPECIALIZED ALTERNATIVE FOR FAMILIES AND YOUTH OF SOUTH CAROLINA, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 23, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Christi Wright
Title
State Director
Phone
(803) 791-7328

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary
Foster Care Agency 253J00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

4925 Lacross Rd
Suite #111
N Charleston, SC 29406-6510

Mailing address

10100 Elida Rd
Delphos, OH 45833-9056
Phone (419) 695-8010

Other names 1

  • SAFY of South Carolina - Charleston Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Specialized Alternative for Families and Youth of South Carolina Inc4 organizations share this tax ID, including this one
Part of
Specialized Alternative for Families and Youth of South Carolina Inc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4925 Lacross Rd
Ste 111
North Charleston, SC 29406
Phone (843) 552-1220

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1417023656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10100 ELIDA RD",
            "city": "DELPHOS",
            "state": "OH",
            "postal_code": "458339056",
            "telephone_number": "419-695-8010",
            "fax_number": "419-695-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4925 LACROSS RD",
            "address_2": "SUITE #111",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294066510",
            "telephone_number": "843-552-1220",
            "fax_number": "843-552-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED ALTERNATIVE FOR FAMILIES AND YOUTH OF SOUTH CAROLINA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPECIALIZED ALTERNATIVE FOR FAMILIES AND YOUTH OF SOUTH CAROLINA, INC.",
        "enumeration_date": "2006-11-28",
        "last_updated": "2016-06-23",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "CHRISTI",
        "authorized_official_title_or_position": "STATE DIRECTOR",
        "authorized_official_telephone_number": "803-791-7328",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAFY of South Carolina - Charleston",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in N Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.