Healther Providers Data Logo

05D2210340 CLIA NUMBER - AMHS EXODUS CRISIS STABILIZATION UNIT BE WELL ORANGE

Laboratory Demographics

CLIA Number: 05D2210340

Facility Name: AMHS EXODUS CRISIS STABILIZATION UNIT BE WELL ORANGE

Facility Address:
265 SOUTH ANITA DRIVE
ORANGE, CA
ZIP 92868
Get Directions

Facility Phone Number: 310 945-3350

Facility Type: Other - CRISIS STABLIZATION UNIT

Certificate Type: Waiver
NPI Number: 1376146050

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 05D2210340
LAB Type Other - CRISIS STABLIZATION UNIT
Facility Name AMHS EXODUS CRISIS STABILIZATION UNIT BE WELL ORANGE
Street 265 SOUTH ANITA DRIVE
City ORANGE
State CA
ZIP 92868
Phone 310 945-3350
CertificateType 4
CertificateEffectiveDate 1/21/2023
CertificateExpirationDate 1/20/2025
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

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