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05D2226166 CLIA NUMBER - NEWPORT ACADEMY - AVOCADO

Laboratory Demographics

CLIA Number: 05D2226166

Facility Name: NEWPORT ACADEMY - AVOCADO

Facility Address:
100 AVOCADO PL
CAMARILLO, CA
ZIP 93010
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Facility Phone Number: 714 393-3523

Facility Type: Other - RESIDENTIAL TREATMENT CTR

Certificate Type: Waiver
NPI Number: 1013518042

Taxonomy: 323P00000X - Psychiatric Residential Treatment Facility
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary

CLIA Record

Field Name Field Value
CLIA Number 05D2226166
LAB Type Other - RESIDENTIAL TREATMENT CTR
Facility Name NEWPORT ACADEMY - AVOCADO
Street 100 AVOCADO PL
City CAMARILLO
State CA
ZIP 93010
Phone 714 393-3523
CertificateType 4
CertificateEffectiveDate 5/26/2023
CertificateExpirationDate 5/25/2025
FacilityType Waiver

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