03D2196339 CLIA NUMBER - FAMILY INSTITUTE FOR HEALTH AND RECOVERY

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Laboratory Demographics

CLIA Number: 03D2196339

Facility Name: FAMILY INSTITUTE FOR HEALTH AND RECOVERY

Facility Address:
1550 E UNIVERSITY DR SUITE G
MESA, AZ
ZIP 85203
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Facility Phone Number: 602 249-6674

Facility Type: Other - OP COUNSELING

Certificate Type: Waiver

NPI Number: 1023465481

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	03D2196339
LAB Type	Other - OP COUNSELING
Facility Name	FAMILY INSTITUTE FOR HEALTH AND RECOVERY
Street	1550 E UNIVERSITY DR SUITE G
City	MESA
State	AZ
ZIP	85203
Phone	602 249-6674
CertificateType	4
CertificateEffectiveDate	10/15/2022
CertificateExpirationDate	10/14/2024
FacilityType	Waiver

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