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Mountain Lake Children's Residence, Inc.
Emotionally Disturbed Childrens' Residential Treatment Facility in Lake Placid, New York
NPI 1255507497

Mountain Lake Children's Residence, Inc. is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Lake Placid, NY. Mountain Lake Children's Residence, Inc. practices in Lake Placid, NY. The NPI Number for Mountain Lake Children's Residence, Inc. is 1255507497 and holds a License No. (New York).

The current practice location address for Mountain Lake Children's Residence, Inc. is 386 River Road, Lake Placid, NY and can be reached out via phone at 518-523-4300 and via fax at 518-523-5322.

Location: 386 River Road, Lake Placid, NY, 12946
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255507497
Provider Name
Mountain Lake Children's Residence, Inc.
Credential
Provider Entity Type
Organization
Address
386 River Road, Lake Placid, NY, 12946
Phone Number
518-523-4300
Fax Number
518-523-5322
Provider Enumeration Date
05/07/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01949242 05 NY
institution
Provider Business Practice Location Address Details
Address
386 River Road
City
Lake Placid
State
New York
Zip
12946
Phone Number
518-523-4300
Fax Number
518-523-5322
person
Provider Business Mailing Address Details
Address
386 River Road
City
Lake Placid
State
New York
Zip
12946
Phone Number
518-523-4300
Fax Number
518-523-5322
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
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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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