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An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Psychiatric Hospital |
283Q00000X | A0[7] | Hospital-Psychiatric (PPS excluded) |
| NPI # | 1033436407 |
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| LBN Legal business name | PROVIDENCE HEALTH SERVICES OF WACO | ||||
| Authorized official | CRAIG CORDOLA - (CEO) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 04/26/2010 | ||||
| Last updated | 11/21/2017 - About 9 years ago | ||||
| Identifiers |
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PROVIDENCE HEALTH SERVICES OF WACO
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PROVIDENCE HEALTH SERVICES OF WACO