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Lake Grove Maple Valley
Emotionally Disturbed Childrens' Residential Treatment Facility in Wendell, Massachusetts
NPI 1841468980

Lake Grove Maple Valley is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Medford, MA. Lake Grove Maple Valley practices in Wendell, MA. The NPI Number for Lake Grove Maple Valley is 1841468980 and holds a License No. (Massachusetts).

The current practice location address for Lake Grove Maple Valley is 6 Farley Rd, Wendell, MA and can be reached out via phone at 978-544-6913 and via fax at 978-544-8672.

Location: 6 Farley Rd, Wendell, MA, 11763-0786
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1841468980
Provider Name
Lake Grove Maple Valley
Credential
Provider Entity Type
Organization
Address
6 Farley Rd, Wendell, MA, 11763-0786
Phone Number
978-544-6913
Fax Number
978-544-8672
Provider Enumeration Date
02/12/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6 Farley Rd
City
Wendell
State
Massachusetts
Zip
01379-9706
Phone Number
978-544-6913
Fax Number
978-544-8672
person
Provider Business Mailing Address Details
Address
6 Farley Rd
City
Wendell
State
Massachusetts
Zip
01379-9706
Phone Number
978-544-6913
Fax Number
978-544-8672
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 2
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.
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