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03D2164042 CLIA NUMBER - INTENSIVE TREATMENT SYSTEMS LLC

Laboratory Demographics

CLIA Number: 03D2164042

Facility Name: INTENSIVE TREATMENT SYSTEMS LLC

Facility Address:
36375 N GANTZEL RD STE 101
SAN TAN VALLEY, AZ
ZIP 85140
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Facility Phone Number: 602 996-0110

Facility Type: Community Clinic

Certificate Type: Waiver
NPI Number: 1508942723

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 03D2164042
LAB Type Community Clinic
Facility Name INTENSIVE TREATMENT SYSTEMS LLC
Street 36375 N GANTZEL RD STE 101
City SAN TAN VALLEY
State AZ
ZIP 85140
Phone 602 996-0110
CertificateType 4
CertificateEffectiveDate 3/26/2023
CertificateExpirationDate 3/25/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024