| Name | Value |
|---|---|
| PROVIDER TYPE | Residential Treatment Facilities |
| CLASSIFICATION | Community Based Residential Treatment Facility, Mental Illness |
| DEFINITION | A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| STATUS | Active |
| X12 CODE | 320800000X |
| INDIVIDUAL/NON | NON-INDIVIDUAL |
| MASTER ENTRY FOR VUID | YES |
| VUID | 5255051 |
| EFFECTIVE DATE/TIME |
|