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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 | |||
Psychiatric Residential Treatment Facility |
323P00000X | |||
Residential Treatment Facility, Emotionally Disturbed Children |
322D00000X |
| NPI Number | 1780900464 |
| LBN Legal business name | CROSS CREEK MANOR |
| Authorized official | DERRICK ESPLIN - (CPA) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 04/20/2010 |
| Last updated | 04/20/2010 - About 16 years ago |
| Identifiers | n/a |
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CROSS CREEK MANOR
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CROSS CREEK MANOR