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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 | |||
Mental Health (Including Community Mental Health Center) |
261QM0801X | B4[14] | Community Mental Health Center |
| NPI # | 1720763006 |
| LBN Legal business name | WHEATFIELD RESIDENTIAL LLC |
| Authorized official | ANDREW STROUP - (PROGRAM DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 06/15/2023 |
| Last updated | 06/15/2023 - About 3 years ago |
| Identifiers | n/a |
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WHEATFIELD RESIDENTIAL LLC
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WHEATFIELD RESIDENTIAL LLC