05D2259347 CLIA NUMBER - ABSOLUTE CONTROL TCC

Laboratory Demographics

CLIA Number: 05D2259347

Facility Name: ABSOLUTE CONTROL TCC

Facility Address:
3111 WINONA AVE SUITE 201
BURBANK, CA
ZIP 91504
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Facility Phone Number: 626 792-8797

Facility Type: Comp. Outpatient Rehab Facility

Certificate Type: Waiver

NPI Number: 1851720395

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	05D2259347
LAB Type	Comp. Outpatient Rehab Facility
Facility Name	ABSOLUTE CONTROL TCC
Street	3111 WINONA AVE SUITE 201
City	BURBANK
State	CA
ZIP	91504
Phone	626 792-8797
CertificateType	4
CertificateEffectiveDate	5/4/2022
CertificateExpirationDate	5/3/2024
FacilityType	Waiver

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