No competing interests, Copyright 2023 BMJ Publishing Group Ltd, Womens, childrens & adolescents health, Eating Disorders Unit at Royal bethlem Hospital. You do have an eating disorder, dont you? All rights reserved, [ Placeholder content for popup link ] Public admission allowed anyone to come and make their own judgement on the conditions inside Bethlem. In contrast to traditional medical thinking, Battie publicly denounced the use of bleeding, blisters, caustics, opium, cold baths and vomits in favour of patients being removed from all objects that are known causes of their disorder. The tripartite model consists of two rehabilitation branches and an assertive outreach branch, utilising a shared care approach across the team with the aims of recovery and move-on at the forefront. The Bethlem Royal Hospital Monks Orchard Road, Beckenham, Kent, BR3 3BX (020) 3228 6000 Provided and run by: South London and Maudsley NHS Foundation Trust Overview Latest inspection summary All inspection reports and timeline Registration details Map and contact details Get alerts when we inspect Give feedback on care at this service Its famous history has inspired several horror books, films and TV series, most notably Bedlam, a 1946 film with Boris Karloff . You can unsubscribe at any time. Otherwise, we will assume that you're OK to continue. Bethlems medical staff were dismissed, but the hospitals governors were not ones to have their authority challenged they immediately appointed Thomas Monros son Edward as the new doctor. Bethlem Royal Hospital is located to the South of . one patient refused to eat, but anyone refusing to eat a meal had Little is known of the institution's inner workings during the Medieval period, but . A range of helpful books on offering CBT for ADHD have been published. Borough of Croydon or are registered with our aligned GP Practice and Ruskin Ward is a ward for women, aged 16-65, who have severe mental If you are lucky, you will have sick pay, or financial help from your family. Cheyne Wing The Assertive Outreach Rehabilitation Team (AORT) offers a model that utilises a whole systems approach to rehabilitation from mental illness. psychiatrists to people, aged 18-65. Wrights secret was out; he was immediately dismissed. Our team includes health and social care professions, including nurses, occupational therapists, psychologists, social workers, support workers and psychiatrists. Address Tyson House West, Bethlem Royal Hospital Monks Orchard Road Beckenham BR3 3BX . Pheweeee, she whistled. I was out all the time: at gigs, festivals, on a plane, at another airport, on a train. Monks Orchard Road,Beckenham, BR3 3BX, Category: Adult Mental Health Services (Local). This is a national specialist service in the UK and most of the patients have severe treatment refractory conditions. Since . diagnostic assessment. It moved to its current 200-plus acre site in southeast London in the 1930s, and provides a huge range of mental health services, including for autism, eating and anxiety disorders, brain injuries and forensics. Psychiatric intensive care unit: South London and Maudsley NHS Foundation Trust; Last updated on 28 July 2011. closely with the, Michael Rutter Centre, De Crespigny Park,London, SE5 8AZ. throw the bread. Please note, this information is provided by the people or organisation offering the service. We promote the recovery of people who require care and support in a residential setting. Women like you, he said, want it all. I throw the bread. Mental illness was viewed as a disease of the body rather than the brain, and patients were often prescribed weeks of enforced bleeding, vomiting and diarrhoea in order to purge the body of its melancholic humours. Wrapping the windows and doors of that ward is a cage, a 10ft high and 15ft wide green wire coop. . Suspected chromosomal abnormalities or single gene disorders, The Tier 3 day hospital service is aimed at people who have frequent service contacts, previous unsuccessful treatment of their condition and need a high level of psychiatric and psychotherapy intervention. During the inquiry the medical staff fared poorly, with the apothecary blaming others for the squalor while the doctor, Thomas Monro, argued that nothing the MPs had seen was amiss. their daughters to anorexia. As a doctor and mother of a daughter recovering from anorexia, I read Despite its proximity to the capital, the sprawling site has 270 acres of verdant space in which to stretch out - a mixture of dense woodland, wild fields and immaculate lawns - and today few people disturb that peace. The Frederick W. Thompson Anxiety Disorders Centre offers specific expertise in the treatment of obsessive-compulsive disorder (OCD) and related "spectrum" disorders, including hoarding, hair pulling (trichotillomania), skin picking and body dysmorphic disorders for anyone over the age of 18. After 11 weeks in the unit, I am sent home for a week of reflection. Close menu. Eventually, he called me back. We have placed cookies on your computer to help make this website better. Specialized Services for Severe OCD and Related Disorders Services for Severe and Impairing OCD We are focusing our services on those who have significant OCD symptoms that impact their ability to function in day to day life and have not responded to previous treatment. Nor the marching orders in my head that told me again and again that I wasnt good enough. We continue to experience an extremely high volume of referrals which unfortunately is resulting in delays in processing. From West End/West London: Follow the A214 through Wandsworth, Streatham, Crystal Palace and Elmers End turning right at the junction with Monks Orchard Road. Most of the senior The consultant is now Professor David Veale, Consultant Psychiatrist specializing in CBT. M25 (from the East): Leave at Junction 4, follow A21 to junction with A232 (The Fantail), follow A232 towards West Wickham. People do not starve themselves because they are wealthy, either. I picked up three pieces and shoved them into my mouth. Although no longer based at the original location of its 1247 founding, it is recognized as Europe's first and oldest psychiatric institution. The day I am discharged, it snows. Concern over false imprisonment and abuse led to a 1763 inquiry by a Select Committee of the House of Commons, but a subsequent attempt at legislation was blocked. Supermarkets and cafes and cornershops lie waiting to yank you inside, to the food, because that is all you can think about: food, food, food. The offices of the mental health assessment service in which Paul worked is now a wine bar and wellness space. Inside the building it was stark, dirty and cold, with no glazed windows or hot water. At some time or other most Londoners seem to have visited the madmans college including the likes of Samuel Pepys, Dr Johnson and William Hogarth. It misses the nurse and lands in the metal sink with a pathetic thud. AO adopts an assertive and proactive way of working, utilising a whole-team approach to provide continuity of care and encourage creativity in engagement and positive risk taking. I am not the only one who has waited years for treatment; nor am I the only one who has experienced homelessness. Established in 1923, the Maudsley is the younger sister of the Bethlem Royal Hospital, the old Bedlam asylum. A stones throw from St Lukes, Bethlems then doctor was John Monro (son of the previous doctor, James Munro) who strongly disagreed with Batties methods, writing that the most adequate and constant cure is by evacuation and that he never saw or heard of the bad effect of vomits. This must change. Through a Maudsley Charity Grant, the Occupational Therapy (OT) Garden at Bethlem Royal Hospital is able to provide gardening sessions to patients, giving them time off the ward in a supported environment. Learn more. It was more than six months before I got an appointment. We start the day with a morning snack; lunch is a full meal and pudding; there is another snack in the afternoon. The site was previously occupied by Monks Orchards House and orchards have been part of the grounds for centuries. It misses the nurse and lands in the metal sink with a pathetic thud. Many were stark naked with just a single blanket to protect them from the cold and rats. St Lukes treated its patients through individual diagnosis and care, the belief being that there were many forms of mental illness and not just one. My friends are working, holidaying, living. **We are not currently offering face to face Services for binge . Royal Melbourne Hospital, Level 2, John Cade Unit, 300 Grattan St, Parkville VIC 3050 Victoria (03) 9342 4033 (03) 9342 8483. . This lasted for more than a century and, despite later reforms, has led to the permanent association of the term 'Bedlam' with anything that is chaotic or unruly. Taking S-Bahn into town for the day. Bethlem Royal Hospital is based in over 200 I do therapy. Referral for the RCH Eating Disorder Service should include: The adolescent's vital signs; including lying and standing blood pressure and lying and standing heart rate. All tiers of our service aim to help people build a life worth living, promote recovery, improve social and interpersonal functioning, and increase the appropriate use of other statutory and voluntary sector services. And so it goes: binge, restrict, binge, restrict. Assessment and treatment is provided for the physical and psychological difficulties associated with having an eating disorder. Conditions: Attention deficit hyperactivity disorder (ADHD), Childhood degenerative disorders, Conduct disorder, Neuropsychiatry, Persistent physical symptoms, Self-harm. Beckenham We provide care for residents of the London Borough of Southwark. From Bedlam, alternative name of the English lunatic asylum, Bethlem Royal Hospital (royal hospital from 1375, mental hospital from 1403) (earlier St Mary of Bethlehem outside Bishopsgate, hospice in existence from 1329, priory established 1247), since used to mean "a place or situation of madness and chaos". The sight that most shocked the committee was that of James Norris, described as a clear and lucid man, who had been tightly chained by his neck to an iron bar in the wall. He wrote in my report that he would not make the referral to the Maudsley, because these services were reserved for individuals with more serious cases. The 18th century saw a rapid expansion in Londons population and also a decline in the traditional treatment of insanity within the family home. Some of signs to West Wickham via A214 will guide you. This can include, but is not limited to, I moved around a lot, eventually ending up in another part of London, in a different trust from St Anns. Send email. Patients could be submerged in cold water for long periods of time, wrapped in towels that had been soaked in ice, or sprayed with cold water. We provide a service for people aged 18-65, who live in the London Call Now for Immediate Confidential Help and Advice 02038 115 619, Our trained addiction counsellors are Or, in my case, mad and thin enough. Caroline is one of the nurses in charge, and has worked in. For people whose level of risk is too high for a community treatment we can complete assessments to screen for suitability for a Tier 4 personality disorder inpatient treatment. 63-65 Denmark Hill,London, SE5 8RS, Address: 1st Floor This was located directly opposite Bethlem, with William Battie serving as its chief physician. Mental health problems sift through generations; anger gets magnified. OCD and Related Disorders Clinic Profile ! 020 3228 6000. Referrals. Eating disorders are real, treatable medical illnesses. She never even bothered to check. specialist services for people from across She must think Im mental, I thought, looking at her nice dress and pearl earrings. I do remember going to the toilet at infant school and seeing myself in the mirror, my stomach curved like a road hump underneath my green school dress. This regime would be administered repeatedly and for as long as the strength would bear. The names 'Bethlem' and 'Bedlam', by which it came to be known . The eating disorders unit sits above the female acute ward, which is where women who . Eating Disorders Treatment Adolescent and adult inpatients and outpatients are treated at UPMC Western Psychiatric Hospital. Aubrey Lewis 1 Ward (AL1) is in the Maudsley Hospital. Eating Disorders Unit (National) 020 3228 4402; Mother & Baby Unit (National) 020 3228 4265; Perinatal Community Service (Croydon) 020 3228 0304 . the UK, such as our Anxiety Disorders With additional metal restraints on his chest, waist, feet and arms, Norris complained that his muscles were atrophied and painful following a decade of confinement. Working at the Bethlem Royal Hospital is so Amazing . Bethlem Royal Hospital Eating Disorders Unit (EDU) 19% Voss Court Greenvale Specialist Care Unit 16% Ladywell Unit Hayworth Ward 9% Bethlem Royal Hospital Lishman Unit 19% Bethlem Royal Hospital Mother and Baby Unit (MBU) 38% NHSP unable to fill Maudsley Hospital Aubrey Lewis 3 Ward (AL3) . It was not until 1774 that the first Madhouse Act was passed, requiring private asylums to be licensed and inspected although, at the behest of its governors, Bethlem was exempted. At the time, Kemptown in Brighton was where you went to buy drugs or sex. Please contact your local teams for access to talking therapies and/or mental health support as required. The project enables patients and staff to connect with nature, grow vegetables and engage with wildlife. Mental health reformists such as William Battie had argued that patients required calm and quiet to aid their recovery, and the removal of visitors from Bethlems wards certainly achieved this. The Maudsleys eating disorder service now takes direct referrals from GPs in the area. My first appointment there was rushed through the receptionist couldnt believe how long the referral had taken; she thought it was a printing mistake. I was given the number of a local NHS emergency mental health line that I rang one night, suicidal, thinking I might be able to plead my case. I rang Paul every day for weeks to be told he was too busy to talk. These instances, and two further financial scandals, did not directly concern the treatment of living patients and so Bethlem was exempted from legislation passed in 1828, 1832 and 1845, continuing to operate outside the law. The doctor, Thomas Monro (son and grandson of previous incumbents), preferred collecting art to medicine. No door handles or light fittings; no sharp objects or windows that open more than an inch. that we should respond to her criticisms of the eating disorders unit at mental illness. At Bethlem you can visit our Gallery and Museum and explore the grounds using our walking trails. The I was loud and chatty and good at school slim, yes, but not worryingly so. One can hardly imagine a human being in a more degraded and brutalised condition than that in which I found this female. The woman, Anna Stone, had been found naked, filthy and chained with several others against the wall of a damp, dark stone cell. Contents Deemed an effective way to evacuate the bowels, bladder and stomach and make an impression on the organs of sensibility (the brain and the nervous system), it was also thought that this treatment would induce restful sleep in a patient, much like rocking a baby. But psychiatric hospitals are built to stop people like me doing that. There is no way to thank them, or the staff who cared for me, enough. The council found us a room in a homeless hostel. The staff here are brilliant but the assault on your eating disorder is relentless. Tyson House West 2 (Eating Disorders) Bethlem Royal Hospital, Monks Orchard Road, Beckenham, BR3 3BX. In the throes of this, I met my new GP, Dr Stephens. Leadership Award in Research, Academy of Eating Disorders honours, June 2020 . Progress, the cross-party group concluded, is dangerously slow. In the US, the National Suicide Prevention Lifeline is 800-273-8255. As a consequence, many private madhouses appeared around London, some of which were no more than unregulated prisons that enabled families to lock up perfectly sane but inconvenient relations. Reviews from Bethlem Royal Hospital employees about Bethlem Royal Hospital culture, salaries, benefits, work-life balance, management, job security, and more. An 1818 report found patients clean, amply supplied with wholesome provisions and well clothed [with none] under restraint. 1st Floor We aim to offer comprehensive care for children and young people up to the age of 18 presenting with mental disorders. View on a map. - 3 March 2020 At the Bethlem Royal Hospital i have a brilliant time working there lovely staff's working.i have great time with different people with diverse culture. Working on mental health wards in various hospitals around Perth including Joondalup Hospital, Hollywood Hospital, Abbotsford Hospital, Sir Charles Gairdner Hospital and Perth Clinic. It took nine months for the referral from St Anns to reach the eating disorders unit at the Maudsley. The Sun Project, (a self-referral, crisis and coping skills group) in central Croydon provides a service that is readily accessible to those previously excluded from psychiatric services or conventional out-patient psychotherapy. Perhaps most surprising of all was that St Lukes would not admit paying visitors, a practice that Bethlem had allowed for centuries. It was not just the views of the doctors that separated the two hospitals, however. However the site does get busy at peak times, if possible please use public transport. Education is provided on site by specialist teaching staff at the Maudsley and Bethlem Hospital School, Address: Tyson East Two Calls and contact requests are answered by admissions at. Beat strongly advises all users to check that the service is appropriate for their specific requirements, and that the service is registered with a relevant professional body. We have placed cookies on your computer to help make this website better. Aubrey Lewis 3 (AL3) is a ward at the Maudsley Hospital. Otherwise, we will assume that you're OK to continue. Email. I was 10. Acorn Lodge Childrens Unit (Bethlem Royal Hospital) 020 3228 4399. London Developing new clinical pathway. Towards the end of my year in hospital, we do a group therapy model called Tree of Life. To find our more please contact Bethlem Hospitals Occupational Therapy department email the team viapeter.o'hare@slam.nhs.ukor call them on 020 3228 4182. This decision is being reviewed regularly. Jenny Stevens, aged about three, in Brighton. Congestion charge: Bethlem Royal Hospital is not in the London congestion charge zone. Bliss, even. Sometimes, patients manage to open the door and stand in the open air within it. Bethlem Royal Hospital Business Hours/Visiting Hours: Monday to Friday, 9am to 5pm. The Anxiety Disorders Residential Unit at the Bethlem Royal was originally started by Professor Isaac Marks in 1980s. The team supports 18 service users who have anorexia nervosa, bulimia nervosa, binge eating disorder or mixed eating disorder symptoms. Of course not. At 32, I was given a choice: go to hospital every day or risk a long wait to become an inpatient. I am lucky, and grateful, to be alive. Maudsley Hospital. Most of us have complex mental health issues. This included Anna Stone, whose treatment was called an act of disgusting idiocy. of Bromley, south east London. We are working as quickly as possible and appreciate your patience during this time. Eating Disorders Program. Bethlem Royal Hospital is based on 270 acres of green space in the London Borough of Bromley. appointments to ensure the safety of patients and staff. Dr Hester and her daughter. As parts of the building became uninhabitable, so patients were bunched ever closer together with the raving mad being placed in the same cells as the quieter inmates. We provide treatment for people with anorexia nervosa, bulimia nervosa, atypical anorexia nervosa and purging disorder in outpatient (low intensity), day hospital (intensive) and inpatient (intensive) formats. She asked, she said, because she was getting married later in the year and her jeans were getting a bit tight. People around me worried, of course, which I suppose is what I wanted: my weight expressed my feelings so that I didnt have to. He said he didnt want to hear that kind of talk and hung up. Chelsham House (Bethlem Royal Hospital) 020 3228 4373. 380 Streatham High Street, London, SW16 6HP. Marina House I know she was only trying to help. pretty poor reviews I very reluctant to come. Earlier in the century she had adopted a male persona, joined the army and fought for several years in India. Away from Bethlem, the discovery of similar conditions elsewhere, most notably the York Asylum, had led to the development of a coherent reformist movement whose influence was beginning to be felt inside Parliament. To this day, few things scare me more than binge eating. This is not about a sandwich, Caroline says. came to arranging appointment to fit in with work. The rest of us offer up some of our sessions to pay for theirs, but it isnt allowed. Referrals will be accepted from Tier 3 CAMHS services. Today it is part of the South London and Maudsley NHS Foundation Trust (SLaM). I suspect that inheriting these characteristics predisposes For most of its history Bethlem was the only dedicated mental institution in Britain, which automatically made its medical staff the foremost experts in the diagnosis and treatment of mental illness. We are a community-based assessment, treatment and advice service for We are based at the Maudsley Hospital and work It went through to an answerphone message saying they were understaffed and there was nobody available. The charity provides helplines for adults and young people, message boards, online chat groups, and emotional overeating support groups online to help people beat their eating disorder. We provide I dissociated. Your feedback can help improve the quality of service, and can also help other patients. In the UK, Beat can be contacted on 0808-801-0677. As I moved into my teenage years and my 20s, periods of depression and disordered eating would come and go, resurfacing at times of loss, heartbreak or overwhelm. Official information from NHS about Bethlem Royal Hospital including contact details, directions, opening hours and service/treatment details. One is permitted to visit the historic hospital by visiting their Gallery and Museum and exploring their grounds using their walking trails. I did the only thing I could: I tried to take control. With legislation threatened, Bethlems governors used their considerable influence to keep the hospital exempted from outside scrutiny. Things have changed since my discharge. Official information from NHS about Bethlem Royal Hospital including contact details, directions, opening hours and service/treatment details . She knew I took my scales everywhere. Bethlem Royal Hospital Bethlem Royal Hospital Ratings and reviews Overview Departments and services Facilities Ratings and reviews Leave a review No reviews Why not be the first? Answer 1 of 7: Will be on long layover March 18th. Furthermore, by 1403 Bethlem had its in care several insane men, perhaps transferred from an institution at Charing Cross out of concern that the latter posed an unnervingly proximate location for a lunatic asylum to the royal palace. By the 1750s Bethlem was accepting tens of thousands of paying visitors a year, making it a top tourist attraction for Londoners, second only to St Pauls Cathedral in popularity. Competing interests: I used to have a job, a life. Your body is fighting to live. The unit is not suitable if nursing care is required and it is unstaffed after 5pm to 8am (other than emergency care). I was advised to Bethlem Royal Hospital was Englands first asylum for the treatment of mental illness, and for many years a place of inhumane conditions, the nickname of which Bedlam became a byword for mayhem or madness. From Bethlem to Maudsley: 7.30am, 9.30am, 11.30am, 1.30pm, 3.30pm, 5.30pm, From Maudsley to Bethlem: 8.30am, 10.30am, 12.30pm, 2.30pm, 4.30pm, 6.15pm. If anyone asked, I would say I liked exercising, and that eating healthily made me feel good. families and local teams to support patients in their local It is closely affiliated to the Institute of Psychiatry, King's College London, and forms part of the Psychosis Clinical Academic Group of King's Health Partners . A Wednesday in September. Those who were beyond conversation tried to dissuade people from staring at them by spitting or throwing objects or, if suffering from melancholia, by not responding at all. We provide consultation, assessment and treatment programme, for patients presenting with emotionally unstable personality disorder (and other associated personality difficulties). . In the last session, we work out what our mental illness represents. I was assigned a mental health care coordinator called Paul, who told me that I had a good figure and he didnt know what I was worrying about. BR3 3BX. Address: Maudsley Hospital I sometimes wonder why I responded to treatment; I suppose there is a part of me that wanted to live. . Some cry, some yell: to be let out, to bring down the government, or just to say hello. This Department is managed by South London and Maudsley NHS Foundation Trust. . From Eden Park station: turn left along Links Way at the junction with Monks Orchard Road/South Eden Park Road walk down Monks Orchard Road; the hospital is on the right hand side at the of the road. We have blood tests and weigh-ins every week. Monks Orchard Road,Beckenham, Greater London, BR3 3BX, Category: Child and Adolescent Mental Health Services (National and Specialist). To be sent to Bethlem was no longer just a matter of shame, it also presented the serious risk of injury or even death. Cognitive-Behavioural Therapy for ADHD in Adolescents and Adults (2012) by Susan Young and Jessica Bramham, Mastering Your Adult ADHD: A Cognitive-Behavioral Treatment Program, Therapist Guide (2 ed.) We look forward to helping you take your first step. To be heard was a small thing, but so huge. Our unit is quieter but I dont feel any different from the people shouting on the steps: it seems natural to scream when you have lost your mind. jenifer.chan@slam.nhs.uk PMID: 17092976 DOI: 10.1177/0269881106071334 NHS England Specialist Commissioning: Bethlem Royal Hospital, Bromley. Parking: There is substantial parking at Bethlem Royal Hospital. ART provides nursing, residential and specialist care placements for people, aged 18-65, who have recently moved to independent living. I had given up sugar two years previously. We offer inpatient and outpatient eating disorder treatment programs to help restore your child's health. Eating disorders are a serious mental illness affecting over 725, 000 people in the UK. Recovery is a word we use a lot. Bethlem Royal Hospital Bethlem Royal Hospital Monks Orchard Road Beckenham, Kent BR3 3BX United Kingdom Phone: +44 (0)20 3228 4146 Email: Kaye.Wake@slam.nhs.uk Website: https://www.national.slam.nhs.uk/adru/ Description: The Anxiety Disorders Residential Unit at the Bethlem Royal was originally started by Professor Isaac Marks in 1980's. 020 3228 4402. In 1750, a group of medical reformers wished to see a progressive alternative to Bethlem and so St Lukes Hospital was created. For these patients we work towards providing an alternative to hospital admission. My GP watched over my decline for two years before referring me to the local mental health team. need mental health care and treatment at the above hospitals. We provide care co-ordination, specialist assessment and rehabilitation services for people who live in the Borough of Lambeth. Violence was commonplace and so many patients were chained either to their beds or to the walls. This succeeded for several years until 1814, when campaigner Edward Wakefield and a small group of MPs gained admission to Bethlems wards. Bethlem Royal Hospital was England's first asylum for the treatment of mental illness, and for many years a place of inhumane conditions, the nickname of which - Bedlam - became a byword for mayhem or madness. I eye-roll, of course. She asked me how many calories there were in a carrot. maintained a normal weight. There are still people being denied treatment because of their BMI or postcode. I was scared to leave the house in case I jumped under a train. In the US, the National Eating Disorders Association is on 800-931-2237. Skilled in delivering evidence-based psychological assessments and interventions to meet individual needs and have an MSc in Clinical Forensic Psychology at King's College London. From City/East London: At the Elephant and Castle follow A215 to Herne Hill - left on to Croxted Road/South Croxted Road/Dulwich Wood Park to Crystal Palace Parade follow Anerley Hill (A214). covering the London area. M25 (from the West): Leave at junction 8 (A23) follow signs for central London. Was this review helpful? illness. In those parts that were habitable MPs found small, fetid cells populated by several people chained to walls or their beds. The unit will soon be moving to a new purpose built site at the Maudsley Hospital, Denmark Hill (work currently underway). Lessons had been learned and the combination of a new building and new staff members brought about reforms of the sort that Wakefield and others had been calling for. "The farce has been played out to the last act," wrote The Lancet. Japanese knotweed, I say: an uninvited, highly adaptive invader that, left unchecked, could strangle the tree. I wont pretend my life is perfect now. This includes feedback on the day, which is Any more missteps, and its a discharge. Often, concern masked a sick fascination. Official information from NHS about Bethlem Royal Hospital including contact details, directions, opening hours and service/treatment details.
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