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La Gomera Llc
Psychiatric Residential Treatment Facility in Eatontown, New Jersey
NPI 1497495840

La Gomera Llc is a Psychiatric Residential Treatment Facility based in Eatontown, NJ. La Gomera Llc practices in Eatontown, NJ. The NPI Number for La Gomera Llc is 1497495840 and holds a License No. (New Jersey).

The current practice location address for La Gomera Llc is 3 Corbett Way, Eatontown, NJ and can be reached out via phone at 657-304-0103.

Location: 3 Corbett Way, Eatontown, NJ, 07724-2283
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497495840
Provider Name
La Gomera Llc
Credential
Provider Entity Type
Organization
Address
3 Corbett Way, Eatontown, NJ, 07724-2283
Phone Number
657-304-0103
Fax Number
Provider Enumeration Date
03/31/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
3 Corbett Way
City
Eatontown
State
New Jersey
Zip
07724-2283
Phone Number
657-304-0103
Fax Number
person
Provider Business Mailing Address Details
Address
3 Corbett Way
City
Eatontown
State
New Jersey
Zip
07724-2283
Phone Number
657-304-0103
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
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.
person
Provider's Taxonomy Details 4
Type
Residential Treatment Facilities
Classification
Psychiatric Residential Treatment Facility
Speciality
-
Taxonomy
323P00000X
License No.
()
Definition
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
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