Individual provider · Type 1 NPI
Clinton Paul Pina Iii
Emotionally Disturbed Childrens' Residential Treatment Facility · New Bedford, MA
Practice location
503 Rockdale Ave
New Bedford, MA 02740-1460
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | 322D00000X (MA) |
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 1649546300
Clinton Paul Pina Iii's National Provider Identifier is 1649546300, issued on Mar 28, 2012. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in New Bedford, MA. The record was last updated on Mar 28, 2012.