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An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Adolescent and Children Mental Health |
261QM0855X | |||
Federally Qualified Health Center (FQHC) |
261QF0400X | B4[14] | Federally Qualified Health Center |
| NPI # | 1457093411 |
| LBN Legal business name | SIXTEENTH STREET COMMUNITY HEALTH CENTER, INC |
| Authorized official | MARIA CECILIA TAYLOR - (CFO) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 04/11/2022 |
| Last updated | 04/11/2022 - About 4 years ago |
| Identifiers | n/a |
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SIXTEENTH STREET COMMUNITY HEALTH CENTER, INC