Madam Patricia Children Foundation
NPI #1992547277 in Johnson City, Tennessee
Provider Information
- NPI Number
- 1992547277
- Entity Type
- Organization
- Organization Name
- Madam Patricia Children Foundation
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Jun 8, 2024
- Last Updated
- Jun 8, 2024
Practice Location
- Address
- 734 W LOCUST ST
- City
- Johnson City
- State
- Tennessee
- ZIP Code
- 37604-6504
- Phone
- (703) 814-6748
Authorized Official
- Name
- REV LEONARD CHUKWUJIOKE-MBIHA, CCMA MHA
- Title
- HEALTHCARE ADMINISTRATOR
- Phone
- (703) 814-6748
Specialties & Taxonomy Codes
| Specialty |
|---|
| In Home Supportive Care |
| Assisted Living Facility |
| Assisted Living Facility - Assisted Living, Mental Illness — Assisted Living, Mental Illness |
| Intermediate Care Facility, Intellectual Disabilities |
| Residential Treatment Facility, Emotionally Disturbed Children |
| Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children — Substance Abuse Treatment, Children |
| Respite Care - Respite Care, Mental Illness, Child — Respite Care, Mental Illness, Child |
| Respite Care - Respite Care, Intellectual and/or Developmental Disabilities, Child — Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Respite Care - Respite Care, Physical Disabilities, Child — Respite Care, Physical Disabilities, Child |
| Home Health |
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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