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Blacksoleheeling, Llc
Psychiatric Residential Treatment Facility in Waldorf, Maryland
NPI 1912627811

Blacksoleheeling, Llc is a Psychiatric Residential Treatment Facility based in Washington, MD. Blacksoleheeling, Llc practices in Waldorf, MD. The NPI Number for Blacksoleheeling, Llc is 1912627811 and holds a License No. (Maryland).

The current practice location address for Blacksoleheeling, Llc is 2807 Pinewood Dr, Waldorf, MD and can be reached out via phone at 240-725-2727. You can also correspond with Blacksoleheeling, Llc through the mailing address at 5942 SOUTHERN AVE SE, WASHINGTON, DC - 20019-6553 (mailing address contact number: ).

Location: 2807 Pinewood Dr, Waldorf, MD, 20019-6553
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912627811
Provider Name
Blacksoleheeling, Llc
Credential
Provider Entity Type
Organization
Address
2807 Pinewood Dr, Waldorf, MD, 20019-6553
Phone Number
240-725-2727
Fax Number
Provider Enumeration Date
08/31/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2807 Pinewood Dr
City
Waldorf
State
Maryland
Zip
20601-3047
Phone Number
240-725-2727
Fax Number
person
Provider Business Mailing Address Details
Address
5942 Southern Ave Se
City
Washington
State
District of Columbia
Zip
20019-6553
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
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 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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