| Name | Value |
|---|---|
| PROVIDER TYPE | Residential Treatment Facilities |
| CLASSIFICATION | Substance Abuse Rehabilitation Facility |
| DEFINITION | A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. |
| AREA OF SPECIALIZATION | Substance Abuse Treatment, Children |
| STATUS | Active |
| X12 CODE | 3245S0500X |
| INDIVIDUAL/NON | NON-INDIVIDUAL |
| MASTER ENTRY FOR VUID | YES |
| VUID | 5255066 |
| EFFECTIVE DATE/TIME |
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