Organization · Type 2 NPI
Sanctuary
Emotionally Disturbed Childrens' Residential Treatment Facility · Chalan Pago, GU
NPI number
1891048062
Active
Practice location
406 Maimai St
Chalan Pago, GU 96910-5669
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Management Agency | 251B00000X | 2696 (GU) |
| Community/Behavioral Health Agency | 251S00000X | 2696 (GU) |
| Early Intervention Provider Agency | 252Y00000X | 2696 (GU) |
| Point of Service | 305S00000X | 2696 (GU) |
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | 2696 (GU) |
| Substance Abuse Rehabilitation Facility | 324500000X | 2696 (GU) |
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 1891048062
Sanctuary's National Provider Identifier is 1891048062, issued on Oct 24, 2012. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Chalan Pago, GU. The record was last updated on Oct 24, 2012.