Taxonomy Code 322D00000X(322d00000x)
Emotionally Disturbed Childrens' Residential Treatment Facility. Providers: 4

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Emotionally Disturbed Childrens' Residential Treatment Facility Providers

NPI Name Type Address

1427237213

Tanya Marie Chala

Individual

762 Cypress St

San Dimas, CA

1831372747

BA Julie Nicole Stassart

Individual

762 Cypress St

San Dimas, CA

1629518147

Mckinley Children's Center

Organization

762 Cypress St

San Dimas, CA

1033784426

Heritage Group Homes Inc.

Organization

670 W Baseline Rd

San Dimas, CA

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...

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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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Other Taxonomy Codes

Registered Record Administrator

246YR1600X • providers: 65

Geriatric Medicine (Family Medicine) Physician

207QG0300X • providers: 2,528

Chronic Care Clinical Nurse Specialist

364SC2300X • providers: 26

Procedural Dermatology Physician

207NS0135X • providers: 936

Multi-Specialty Clinic/Center

261QM1300X • providers: 8,619

Oxygen Equipment & Supplies (DME)

332BX2000X • providers: 5,631

Vascular Neurology Physician

2084V0102X • providers: 610

Pulmonary Disease Physician

207RP1001X • providers: 17,288

Respite Care Camp

385HR2050X • providers: 79

General Practice Registered Nurse

163WG0000X • providers: 2,969

Group Psychotherapy Psychologist

103TP2701X • providers: 552

Pediatric Chiropractor

111NP0017X • providers: 247

EEG Technician

2472E0500X • providers: 106

Athletic Trainer

2255A2300X • providers: 37,895

Clinical Pathology Physician

207ZC0006X • providers: 430

Veterinarian

174M00000X • providers: 1,647

Addiction Psychiatry Physician

2084P0802X • providers: 747

Foot Surgery Podiatrist

213ES0131X • providers: 2,710

Military or U.S. Coast Guard Water Transport Ambulance

3418M1130X • providers: 1

Surgical Assistant

246ZC0007X • providers: 3,913