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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 # | 1457697369 |
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| LBN Legal business name | PRIMARY CHILDRENS MEDICAL CENTER | ||||
| Authorized official | WILLIAM KUSHNER - (SUBSTANCE ABUSE COUNSELOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 12/20/2012 | ||||
| Last updated | 12/20/2012 - About 13 years ago | ||||
| Identifiers |
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PRIMARY CHILDRENS MEDICAL CENTER
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PRIMARY CHILDRENS MEDICAL CENTER