Taxonomy Code 322D00000X(322d00000x)
Emotionally Disturbed Childrens' Residential Treatment Facility. Providers: 9

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Emotionally Disturbed Childrens' Residential Treatment Facility Providers

NPI Name Type Address

1568766905

Saint Joshuas Therapeutic Group Home Inc

Organization

3409 N State St

Jackson, MS

1225324510

Pine Vale Inc

Organization

1872 County Road 700

Corinth, MS

1386916864

Savior Of Life Therapeutic Residential Group Home

Organization

411 Naples Rd

Jackson, MS

1114291929

Positive Living, Inc.

Organization

3811 W Northside Dr

Jackson, MS

1770901688

Methodist Children's Homes

Organization

805 N Flag Chapel Rd

Jackson, MS

1710366273

Mississippi Children's Home Society

Organization

1465 Lakeland Dr

Jackson, MS

1184077364

Pine Vale Children's Home

Organization

1872 County Road 700

Corinth, MS

1306292149

Rehabilitation Centers, Llc

Organization

900 1st Ave Ne

Magee, MS

1053682724

Center For Family Life Extension, Inc.

Organization

1980 Highway 80 W

Jackson, MS

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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

Neurology Physician

2084N0400X • providers: 24,585

Pediatric Obesity Medicine Physician

2080B0002X • providers: 11

Adolescent Medicine (Internal Medicine) Physician

207RA0000X • providers: 408

Registered Nurse

163W00000X • providers: 106,837

Hospice and Palliative Medicine (Radiology) Physician

2085H0002X • providers: 9

Primary Care Nurse Practitioner

363LP2300X • providers: 9,295

Otolaryngic Allergy Physician

207YX0602X • providers: 207

Pharmacotherapy Pharmacist

1835P1200X • providers: 5,751

Sports Medicine (Neuromusculoskeletal Medicine) Physician

204C00000X • providers: 655

Cardiopulmonary Physical Therapist

2251C2600X • providers: 122

Optometrist

152W00000X • providers: 87,698

Hepatology Physician

207RI0008X • providers: 299

PACE Provider Organization

251T00000X • providers: 449

Addiction Medicine (Preventive Medicine) Physician

2083A0300X • providers: 281

Non-emergency Medical Transport (VAN)

343900000X • providers: 19,476

Technician

374700000X • providers: 1,821

Histology Specialist/Technologist

246QH0600X • providers: 60

Blood Banking & Transfusion Medicine Physician

207ZB0001X • providers: 387

Phlebology Physician

202K00000X • providers: 354

Sports Medicine (Emergency Medicine) Physician

207PS0010X • providers: 290