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 | Specialty Code | Provider Type | |
Substance Abuse Treatment, Children |
3245S0500X |
| NPI # | 1417581125 |
| LBN Legal business name | PETTY CREEK RANCH LLC |
| Authorized official | MICHAEL MORSO - (CEO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 03/03/2020 |
| Last updated | 03/03/2020 - About 6 years ago |
| Identifiers | n/a |
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PETTY CREEK RANCH LLC
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