Individual provider · Type 1 NPI
Larra Wall
Emotionally Disturbed Childrens' Residential Treatment Facility · Toledo, OH
NPI number
1417773276
Active
Practice location
1820 Berdan Ave
Toledo, OH 43613-4612
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.
About NPI 1417773276
Larra Wall's National Provider Identifier is 1417773276, issued on Nov 26, 2024. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Toledo, OH. The record was last updated on Nov 26, 2024.