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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 | |||
Rehabilitation, Substance Use Disorder |
261QR0405X | |||
Substance Abuse Treatment, Children |
3245S0500X |
| NPI # | 1932058369 |
| LBN Legal business name | ICR ADOLESCENTS OPERATING SUBSIDIARY, LLC |
| Authorized official | TARA GURNEY - (AUTHORIZED OFFICIAL) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 01/27/2026 |
| Last updated | 05/28/2026 - About 2 weeks ago |
| Identifiers | n/a |
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ICR ADOLESCENTS OPERATING SUBSIDIARY, LLC