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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 | |||
Adolescent and Children Mental Health |
261QM0855X | |||
Psychiatric Residential Treatment Facility |
323P00000X | |||
Rehabilitation, Substance Use Disorder |
261QR0405X |
| NPI Number | 1780884742 |
| LBN Legal business name | LIFELINE BEHAVIORAL HEALTH, LLC |
| Authorized official | SHANE PETERSEN - (CHIEF EXECUTIVE OFFICER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 07/18/2007 |
| Last updated | 04/10/2015 - About 11 years ago |
| Identifiers | n/a |
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LIFELINE BEHAVIORAL HEALTH, LLC