03D2243731 CLIA NUMBER - HOPE & HEALING OUPATIENT LLC

Laboratory Demographics

CLIA Number: 03D2243731

Facility Name: HOPE & HEALING OUPATIENT LLC

Facility Address:
3512 N HIGLEY RD
MESA, AZ
ZIP 85215
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Facility Phone Number: 480 868-8697

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1841968625

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	03D2243731
LAB Type	Community Clinic
Facility Name	HOPE & HEALING OUPATIENT LLC
Street	3512 N HIGLEY RD
City	MESA
State	AZ
ZIP	85215
Phone	480 868-8697
CertificateType	4
CertificateEffectiveDate	11/22/2023
CertificateExpirationDate	11/21/2025
FacilityType	Waiver

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