Residential Treatment Facility, Emotionally Disturbed Children
Primary
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
taxonomy 322D00000X
Counselor
Definition to come...
ID license #LCPC-2754taxonomy 101YM0800X
Identifiers
Type
Value
Notes
05 (ID)
807371000
05 (ID)
807385700
05 (ID)
804258900
05 (ID)
002265000
05 (ID)
807385500
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
Residential Facility
Type code 5recorded 2020-02-06
Community Based Counseling
Type code 5recorded 2007-03-01
Practice context
Multi-provider organization.
3 individual providers on file at this primary address.
Plus 1 secondary practice location.
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