Taxonomy Code 322D00000X(322d00000x)
Emotionally Disturbed Childrens' Residential Treatment Facility. Providers: 2

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Emotionally Disturbed Childrens' Residential Treatment Facility Providers

NPI Name Type Address

1104941442

Ettie Lee Youth And Family Services

Organization

12345 Chandler Blvd

North Hollywood, CA

1801171939

Michelle Nicole Islas

Individual

10526 Dubnoff Way

North Hollywood, CA

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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
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