Organization · Type 2 NPI
Innerchange Lake House, LLC
Emotionally Disturbed Childrens' Residential Treatment Facility · Flat Rock, NC
Practice location
447 Lily Pad Ln
Flat Rock, NC 28731-9503
Mailing address
5500 Ming Ave Ste 410
Bakersfield, CA 93309-4631
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 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.
2 other providers at this address
About NPI 1215524756
Innerchange Lake House, LLC's National Provider Identifier is 1215524756, issued on Dec 30, 2020. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Flat Rock, NC. The record was last updated on Nov 29, 2023.