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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 | |||
Psychiatric Residential Treatment Facility |
323P00000X |
| NPI Number | 1356476873 |
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| LBN Legal business name | CROSS CREEK MANOR, LLC | ||||||||
| Authorized official | KARR FARNSWORTH - (DIRECTOR) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 02/23/2007 | ||||||||
| Last updated | 09/11/2025 - About 9 months ago | ||||||||
| Identifiers |
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CROSS CREEK MANOR, LLC