Mountain Lake Children'S Residence, Inc. in Lake Placid - Residential Treatment Facility, Emotionally Disturbed Children
Mountain Lake Children'S Residence, Inc. - NPI 1255507497
Mountain Lake Children'S Residence, Inc. is a Residential Treatment Facility, Emotionally Disturbed Children in Lake Placid, New York. Mountain Lake Children'S Residence, Inc. practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Mountain Lake Children'S Residence, Inc. is 1255507497. The last update date is 2015-04-08.
Mountain Lake Children'S Residence, Inc.'s current location address is 386 River Road, Lake Placid, New York. You can contact this provider via phone number 5185234300 and fax number 5185235322. The mailing address for Mountain Lake Children'S Residence, Inc. is 386 River Road, Lake Placid, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mountain Lake Children'S Residence, Inc. |
|---|---|
| Address | 386 River Road, Lake Placid, New York |
| Phone Number | 5185234300 |
| Fax Number | 5185235322 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Prevost M Carol |
| Telephone Number | 5185234300 |
NPI Number Detail
| NPI Number | 1255507497 |
|---|---|
| Provider Enumeration Date | 2008-05-07 |
| Last Updated Date | 2015-04-08 |
Provider Mailing Address Detail
| Address | 386 River Road |
|---|---|
| City | Lake Placid |
| State | New York (NY) |
| Post Code | 12946 |
| Phone Number | 5185234300 |
| Fax Number | 5185235322 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1949242 | NY | -- |
Post Comment/ Review Below
What is the Mountain Lake Children'S Residence, Inc.'s 1255507497?
The Mountain Lake Children'S Residence, Inc.'s NPI (National Provider Identifier) Number is 1255507497. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Mountain Lake Children'S Residence, Inc.'s facilities are situated?
The facilities of Mountain Lake Children'S Residence, Inc. are physically located at the following address: 386 River Road, Lake Placid, NY, 12946.
What is Mountain Lake Children'S Residence, Inc.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mountain Lake Children'S Residence, Inc. is Residential Treatment Facility, Emotionally Disturbed Children, and the corresponding taxonomy classification code for this specialized field is 322D00000X.
When did the Mountain Lake Children'S Residence, Inc. receive its 1255507497?
The Mountain Lake Children'S Residence, Inc. was issued its 1255507497 on 2008-05-07, which is the date when the organization was assigned this unique identifier.
When was the information related to Mountain Lake Children'S Residence, Inc. most recently updated or refreshed?
The details pertaining to the Mountain Lake Children'S Residence, Inc., including its address, specialty, and other relevant information, were last updated or refreshed on 2015-04-08.
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