Individual provider · Type 1 NPI
Lindsay Marie Blackwell
Emotionally Disturbed Childrens' Residential Treatment Facility · San Jose, CA
Practice location
463 Wooster Ave Apt D23
San Jose, CA 95116-1096
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| 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.
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About NPI 1134316722
Lindsay Marie Blackwell's National Provider Identifier is 1134316722, issued on Sep 27, 2007. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in San Jose, CA. The record was last updated on Sep 27, 2007.