| Name | Value |
|---|---|
| PROVIDER TYPE | Hospitals |
| CLASSIFICATION | Psychiatric Hospital |
| DEFINITION | An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| STATUS | Active |
| X12 CODE | 283Q00000X |
| SPECIALTY CODE | A0 |
| INDIVIDUAL/NON | NON-INDIVIDUAL |
| MASTER ENTRY FOR VUID | YES |
| VUID | 5252696 |
| EFFECTIVE DATE/TIME |
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