A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Community/Behavioral Health | 251S00000X |
| Addiction (Substance Use Disorder) | 101YA0400X | |
| Mental Health | 101YM0800X | |
| Pastoral | 101YP1600X | |
| Professional | 101YP2500X |
* Indicates primary specialty
| NPI Number | 1043376635 |
| Credentials | MS MDV MAC LADC LMFT |
| Entity | Individual |
| Enumeration date | 12/28/2006 |
| Last updated | 03/17/2010 - About 16 years ago |
| Sole proprietor1 | Yes |
| Identifiers |
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| Hospital affiliation | n/a |
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
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