Individual provider · Type 1 NPI
Arlene Capistrano Germann, ISL OWNER DIRECTOR
Emotionally Disturbed Childrens' Residential Treatment Facility · Carrollton, MO
Practice location
1102 Lakeview Ct
Carrollton, MO 64633
Fax (660) 542-8707
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | 0298001812 (MO) |
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.
Another provider at this address
About NPI 1679616742
Arlene Capistrano Germann, ISL OWNER DIRECTOR's National Provider Identifier is 1679616742, issued on Feb 15, 2007. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Carrollton, MO. The record was last updated on Jul 8, 2007.