Whalio Doctors

NPI 1891048062

Sanctuary

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Chalan Pago, GU

Practice location

Address
406 Maimai St, Chalan Pago, GU 96910-5669
Phone
(671) 475-7101

Authorised official

Name
Mildred Q. Lujan
Title
Executive Director
Phone
(671) 475-7101

Registered specialties (6)

Emotionally Disturbed Childrens' Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 322D00000X Licence 2696 (GU)
Case Management Agency
Agencies Taxonomy 251B00000X Licence 2696 (GU)
Community/Behavioral Health Agency
Agencies Taxonomy 251S00000X Licence 2696 (GU)
Early Intervention Provider Agency
Agencies Taxonomy 252Y00000X Licence 2696 (GU)
Point of Service
Managed Care Organizations Taxonomy 305S00000X Licence 2696 (GU)
Substance Abuse Rehabilitation Facility
Residential Treatment Facilities Taxonomy 324500000X Licence 2696 (GU)

Registry record

NPI
1891048062
Entity type
Organization
NPI issued
24 Oct 2012
Record last updated
24 Oct 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.