| Name | Value |
|---|---|
| PROVIDER TYPE | Residential Treatment Facilities |
| CLASSIFICATION | Residential Treatment Facility, Emotionally Disturbed Children |
| DEFINITION | 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. |
| STATUS | Active |
| X12 CODE | 322D00000X |
| INDIVIDUAL/NON | NON-INDIVIDUAL |
| MASTER ENTRY FOR VUID | YES |
| VUID | 5255057 |
| EFFECTIVE DATE/TIME |
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