A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Assisted Living, Behavioral Disturbances | 3104A0630X |
| Attendant Care Provider | 3747A0650X |
* Indicates primary specialty
| NPI Number | 1336747518 |
| Credentials | ADMIN, AFH |
| Entity | Individual |
| Enumeration date | 10/11/2020 |
| Last updated | 10/12/2020 - About 6 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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