person
Lindsay Marie Blackwell
Emotionally Disturbed Childrens' Residential Treatment Facility in San Jose, California
NPI 1134316722

Lindsay Marie Blackwell is a Emotionally Disturbed Childrens' Residential Treatment Facility based in San Jose, CA. Lindsay Marie Blackwell practices in San Jose, CA. The NPI Number for Lindsay Marie Blackwell is 1134316722 and holds a License No. (California).

The current practice location address for Lindsay Marie Blackwell is 463 Wooster Ave Apt D23, San Jose, CA and can be reached out via phone at 408-712-0825. You can also correspond with Lindsay Marie Blackwell through the mailing address at 463 WOOSTER AVE APT D23, SAN JOSE, CA - 95116-1096 (mailing address contact number: 408-712-0825).

Location: 463 Wooster Ave Apt D23, San Jose, CA, 95116-1096
person
Provider Profile Details
NPI Number
1134316722
Provider Name
Lindsay Marie Blackwell
Credential
Provider Entity Type
Individual
Gender
Female
Address
463 Wooster Ave Apt D23, San Jose, CA, 95116-1096
Phone Number
408-712-0825
Fax Number
Provider Enumeration Date
09/27/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
463 Wooster Ave Apt D23
City
State
Zip
95116-1096
Phone Number
408-712-0825
Fax Number
person
Provider Business Mailing Address Details
Address
463 Wooster Ave Apt D23
City
State
Zip
95116-1096
Phone Number
408-712-0825
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
License No.
()
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.
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