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.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Residential Treatment Facility, Emotionally Disturbed Children | 322D00000X |
* Indicates primary specialty
| NPI Number | 1518177286 |
| Credentials | LPC (Licensed Professional Counselor) |
| Entity | Individual |
| Enumeration date | 05/23/2007 |
| Last updated | 07/08/2007 - About 19 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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