Taxonomy Code 322D00000X(322d00000x)
Emotionally Disturbed Childrens' Residential Treatment Facility. Providers: 6

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Emotionally Disturbed Childrens' Residential Treatment Facility Providers

NPI Name Type Address

1255475497

MISS MFTI Jennifer Marie Crane

Individual

455 Silicon Valley Blvd

San Jose, CA

1134316722

Lindsay Marie Blackwell

Individual

463 Wooster Ave Apt D23

San Jose, CA

1013197052

MRS. R.N. Debra Lee Collins

Individual

455 Silicon Valley Blvd

San Jose, CA

1104151059

Emq Families First

Organization

6630 Marymonte Ct

San Jose, CA

1700101540

Kyle Addison

Individual

6630 Marymonte Ct

San Jose, CA

1689030355

Unity Caregroup

Organization

3957 Seven Trees Blvd Apt 175

San Jose, 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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Other Taxonomy Codes

Pediatric Allergy/Immunology Physician

2080P0201X • providers: 560

Sports Medicine (Preventive Medicine) Physician

2083S0010X • providers: 141

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