05D2170890 CLIA NUMBER - EVOLVE TREATMENT CENTERS DANVILLE

Laboratory Demographics

CLIA Number: 05D2170890

Facility Name: EVOLVE TREATMENT CENTERS DANVILLE

Facility Address:
263 MONTEGO DRIVE
DANVILLE, CA
ZIP 94526
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Facility Phone Number: 925 309-4319

Facility Type: Other - RESIDENTIAL TREATMENT CEN

Certificate Type: Waiver

NPI Number: 1548721186

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	05D2170890
LAB Type	Other - RESIDENTIAL TREATMENT CEN
Facility Name	EVOLVE TREATMENT CENTERS DANVILLE
Street	263 MONTEGO DRIVE
City	DANVILLE
State	CA
ZIP	94526
Phone	925 309-4319
CertificateType	4
CertificateEffectiveDate	8/21/2023
CertificateExpirationDate	8/20/2025
FacilityType	Waiver

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