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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 | |||
Ambulatory Family Planning Facility |
261QA0005X | |||
Case Management |
251B00000X | |||
Custodial Care Facility |
311Z00000X | |||
In Home Supportive Care |
253Z00000X | |||
Local Education Agency (LEA) |
251300000X | |||
Lodging |
177F00000X | |||
Meals |
174200000X | |||
Medically Fragile Infants and Children Day Care |
261QM3000X | |||
Public Health or Welfare |
251K00000X | 60 | Public Health or Welfare Agency |
| NPI Number | 1497358865 |
| LBN Legal business name | INNOVATIVE CHILD & FAMILY SERVICES |
| Authorized official | RICARDO TILLERY - (CEO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 11/18/2020 |
| Last updated | 11/18/2020 - About 6 years ago |
| Identifiers | n/a |
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INNOVATIVE CHILD & FAMILY SERVICES
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INNOVATIVE CHILD & FAMILY SERVICES