| NPI | Name | Type | Address |
|---|---|---|---|
|
Linda Joanne Adams |
Individual |
24077 State Highway 49 Nevada City, CA |
|
|
MRS. BA Rosa Haywood Bethea |
Individual |
711 Executive Pl Fayetteville, NC |
|
|
MRS. Heidi Jo Ramirez |
Individual |
1920 W Hadley St Tucson, AZ |
|
|
LMSW Jacqueline Welch-bennett |
Individual |
226 Linda Ave Hawthorne, NY |
|
|
MSW Robert Pantulaino |
Individual |
226 Linda Ave Hawthorne, NY |
|
|
MFT Gary Bartl |
Individual |
5860 Mcbryde Ave Richmond, CA |
|
|
MRS. ISL OWNER DIRECTOR Arlene Capistrano Germann |
Individual |
1102 Lakeview Ct Carrollton, MO |
|
|
MISS MFTI Jennifer Marie Crane |
Individual |
455 Silicon Valley Blvd San Jose, CA |
|
|
MR. Bobby Eatmon |
Individual |
5019 Dorsey Rd Oxford, NC |
|
|
Tracy Scott-jefferson |
Individual |
824 12th St Oakland, CA |
|
|
MR. LPCC Charles Lamont Hankton |
Individual |
5593 Carlton Dr Bedford Hts, OH |
|
|
MR. George Anthony Galvan |
Individual |
1722 S Lewis Rd Camarillo, CA |
|
|
MS. MSW Aisha Cherice Powell |
Individual |
6822 Forbes Ave Van Nuys, CA |
|
|
Cristine Davis |
Individual |
10171 Comerate Rd Grass Valley, CA |
|
|
Shirley Mae Houston |
Individual |
714 W Main St Grass Valley, CA |
|
|
Jeanie Lyn Ibbotson |
Individual |
11855 Slow Poke Ln Grass Valley, CA |
|
|
Sherry Ruth Shewcraft |
Individual |
714 W Main St Grass Valley, CA |
|
|
DR. MD Sebastian Salvatore Fasanello |
Individual |
150 Martin Rd Lackawanna, NY |
|
|
Lou Logan |
Individual |
714 W Main St Grass Valley, CA |
|
|
Pamela Grimes |
Individual |
714 W Main St Grass Valley, CA |
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 | 322D00000X |
| Display Name | Emotionally Disturbed Childrens' Residential Treatment Facility |
| Taxonomy Group | Residential Treatment Facilities |
| Taxonomy Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| Definition | A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. |
| Effective Date | September 30, 2009 |
| Modification Date | September 30, 2009 |