03D2114885 CLIA NUMBER - Lifewell Behavioral Wellness - Mitchel

Laboratory Demographics

CLIA Number: 03D2114885

Facility Name: Lifewell Behavioral Wellness - Mitchel

Facility Address:
40 E Mitchell
Phoenix, AZ
ZIP 85012
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Facility Phone Number: (602) 599-5637

Facility Type: OTHER

Certificate Type: Waiver

NPI Number: 1104111061

Taxonomy: 251S00000X - Community/Behavioral Health
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

CLIA Record

Field Name Field Value
CLIA Number 03D2114885
LAB Type OTHER
Facility Name Lifewell Behavioral Wellness - Mitchel
Street 40 E Mitchell
City Phoenix
State AZ
ZIP 85012
Phone (602) 599-5637

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This page was last updated on: 4/7/2021