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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 | |||
Assisted Living, Mental Illness |
3104A0625X | |||
Community/Behavioral Health |
251S00000X | |||
Gerontology |
363LG0600X | 50 | Nurse Practitioner | |
Mental Health (Including Community Mental Health Center) |
261QM0801X | B4[14] | Community Mental Health Center | |
Psychiatric/Mental Health |
363LP0808X | 50 | Nurse Practitioner |
| NPI Number | 1467201301 |
| LBN Legal business name | EDGE HEALTH CARE AND MENTAL HEALTH SERVICES |
| Authorized official | EKAN EKONG - (PMHNP-BC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/14/2024 |
| Last updated | 10/21/2024 - More than a year ago |
| Identifiers | n/a |
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EDGE HEALTH CARE AND MENTAL HEALTH SERVICES