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Viaquest Behaviaorl Health Of Pa, Llc
Emotionally Disturbed Childrens' Residential Treatment Facility in Lewistown, Pennsylvania
NPI 1336210699

Viaquest Behaviaorl Health Of Pa, Llc is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Dublin, PA. Viaquest Behaviaorl Health Of Pa, Llc practices in Lewistown, PA. The NPI Number for Viaquest Behaviaorl Health Of Pa, Llc is 1336210699 and holds a License No. 316910 (Pennsylvania).

The current practice location address for Viaquest Behaviaorl Health Of Pa, Llc is 25 Woods Ln, Lewistown, PA and can be reached out via phone at 717-242-2700.

Location: 25 Woods Ln, Lewistown, PA, 43017-5342
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1336210699
Provider Name
Viaquest Behaviaorl Health Of Pa, Llc
Credential
Provider Entity Type
Organization
Address
25 Woods Ln, Lewistown, PA, 43017-5342
Phone Number
717-242-2700
Fax Number
Provider Enumeration Date
11/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0019621050003 05 PA
0019621050001 05 PA
0019621050004 05 PA
0019621050002 05 PA
0428 01 PA BLUE CROSS PROVIDER #
5011962105 01 PA CBHNP PROVIDER #
institution
Provider Business Practice Location Address Details
Address
25 Woods Ln
City
Lewistown
State
Pennsylvania
Zip
17044-2082
Phone Number
717-242-2700
Fax Number
person
Provider Business Mailing Address Details
Address
25 Woods Ln
City
Lewistown
State
Pennsylvania
Zip
17044-2082
Phone Number
717-242-2700
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
302410 (Pennsylvania)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
301480 (Pennsylvania)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
316910 (Pennsylvania)
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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