Taxonomy Code 320600000X(320600000x)
Intellectual and/or Developmental Disabilities Residential Treatment Facility. Providers: 2
Intellectual and/or Developmental Disabilities Residential Treatment Facility Providers
| NPI | Name | Type | Address |
|---|---|---|---|
|
Diane Cook |
Individual |
12489 State Highway 56 Viola, WI |
|
|
Mystic Creek, Llc |
Organization |
12489 State Highway 56 Viola, WI |
How to obtain, renew, or terminate an NPI
Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...
| Taxonomy Code | 320600000X |
| Display Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility |
| Taxonomy Group | Residential Treatment Facilities |
| Taxonomy Classification | Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Definition | A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. |
| Effective Date | September 30, 2009 |
| Modification Date | September 30, 2009 |