Individual provider · Type 1 NPI
Derek Mohammad McCrary, B.A.
Emotionally Disturbed Childrens' Residential Treatment Facility · Oxnard, CA
Practice location
627 Richmond Ave
Oxnard, CA 93030
Mailing address
345 W Roderick Ave
Oxnard, CA 93030-4329
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 1710287446
Derek Mohammad McCrary, B.A.'s National Provider Identifier is 1710287446, issued on Oct 28, 2010. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Oxnard, CA. The record was last updated on Oct 28, 2010.