05D2098057 CLIA NUMBER - CENTER FOR DISCOVERY, SACRAMENTO

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Laboratory Demographics

CLIA Number: 05D2098057

Facility Name: CENTER FOR DISCOVERY, SACRAMENTO

Facility Address:
5422 CAVITT STALLMAN RD
GRANITE BAY, CA
ZIP 95746
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Facility Phone Number: 714 733-6056

Facility Type: Other - RESIDENTIAL TREATMENT

Certificate Type: Waiver

NPI Number: 1942745286

Taxonomy: 320800000X - Community Based Residential Treatment Facility, Mental Illness
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

CLIA Record

Field Name	Field Value
CLIA Number	05D2098057
LAB Type	Other - RESIDENTIAL TREATMENT
Facility Name	CENTER FOR DISCOVERY, SACRAMENTO
Street	5422 CAVITT STALLMAN RD
City	GRANITE BAY
State	CA
ZIP	95746
Phone	714 733-6056
CertificateType	4
CertificateEffectiveDate	6/29/2023
CertificateExpirationDate	6/28/2025
FacilityType	Waiver

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