A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment.
|Taxonomy Code||Specialty Code||Provider Type|
|LBN Legal business name||INTERCEPT YOUTH SERVICES, INC.|
|DBA Doing business as||INDEPENDENCE HOUSE|
|Authorized official||DAVID GRAHAM - (DIR OF ACCOUNTING & ADMINISTRATION)|
|Organization subpart 1||Not specified|
|Last updated||07/09/2007 - About 8 years ago|
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