Individual provider · Type 1 NPI
Aishah Holman
Emotionally Disturbed Childrens' Residential Treatment Facility · Norristown, PA
NPI number
1013410224
Active
Practice location
221 Jacoby St
Norristown, PA 19401-4040
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Mental Illness Community Based Residential Treatment Facility | 320800000X | None listed |
| Child Mental Illness Respite Care | 385HR2055X | None listed |
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | None listed |
| Child Physical Disabilities Respite Care | 385HR2065X | None listed |
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | None listed |
Emotionally Disturbed Childrens' Residential Treatment Facility: 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.
About NPI 1013410224
Aishah Holman's National Provider Identifier is 1013410224, issued on Mar 14, 2018. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Norristown, PA. The record was last updated on Mar 14, 2018.