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 | Specialty Code | Provider Type | |
Community/Behavioral Health |
251S00000X | |||
Adult Day Care |
261QA0600X | |||
Case Management |
251B00000X | |||
Clinic/Center |
261Q00000X | |||
Community Health |
261QC1500X | |||
Day Training, Developmentally Disabled Services |
251C00000X | |||
Developmental Disabilities |
261QD1600X | |||
Home Health |
251E00000X | A4[11] | Home Health Agency | |
Physical Therapy |
261QP2000X | |||
Respite Care |
385H00000X |
| NPI # | 1669876033 |
| LBN Legal business name | MIDWEST BRAIN INJURY CLUBHOUSE |
| Authorized official | TAMMIKO BESS - (EXECUTIVE DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 10/14/2014 |
| Last updated | 12/20/2023 - About 2 years ago |
| Identifiers | n/a |
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