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A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Residential Treatment Facility, Emotionally Disturbed Children |
322D00000X |
| NPI Number | 1013249713 |
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| LBN Legal business name | ELEMENTS WILDERNESS PROGRAM | ||||
| Authorized official | MARY COVINGTON - (INSURANCE CONSULTANT) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 02/04/2010 | ||||
| Last updated | 02/04/2010 - About 16 years ago | ||||
| Identifiers |
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ELEMENTS WILDERNESS PROGRAM
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ELEMENTS WILDERNESS PROGRAM