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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 # | 1265632939 |
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| LBN Legal business name | BLUE SAGE YOUTH SERVICES | ||||
| Authorized official | KELLY HUSBANDS - (PROGRAM DIRECTOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 07/20/2007 | ||||
| Last updated | 07/20/2007 - About 19 years ago | ||||
| Identifiers |
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BLUE SAGE YOUTH SERVICES
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BLUE SAGE YOUTH SERVICES