A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Substance Abuse Treatment, Children | 3245S0500X |
* Indicates primary specialty
| NPI Number | 1417581125 |
| Legal business name LBN |
PETTY CREEK RANCH LLC |
| Authorized official | MICHAEL MORSO - (CEO) |
| Entity | Organization |
| Organization subpart | No |
| Enumeration date | 03/03/2020 |
| Last updated | 03/03/2020 - About 6 years ago |
| Sole proprietor1 | Not specified |
| Identifiers | n/a |
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
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