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Department of Behavioral Health and Developmental Services Office of Human Rights COMPLIANCE VERIFICATION CHECKLIST Name of Provider Address of program if different from providers address Directors
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Type of service if refers to the specific category or classification of service being provided.
Any individual or entity providing a service that falls under a specific category must file type of service if.
Type of service if can be filled out by providing the necessary information related to the service being provided, including details about the category or classification.
The purpose of type of service if is to ensure that services are properly categorized and reported for regulatory or informational purposes.
Information such as the name of the service provider, the category or classification of the service, and any relevant details about the service must be reported on type of service if.
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