A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Community Based Residential Treatment Facility, Mental Illness |
320800000X | |||
Psychiatric Residential Treatment Facility |
323P00000X | |||
Substance Abuse Disorder Rehabilitation Facility |
324500000X |
| NPI # | 1215261086 |
| LBN Legal business name | BRENDA SUE MATHIS |
| Authorized official | BRENDA MATHIS - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 09/28/2009 |
| Last updated | 09/28/2009 - About 17 years ago |
| Identifiers | n/a |
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