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05D2276412 CLIA NUMBER - VALLEY STAR OLIVE VIEW UCLA CRISIS RESIDENTIAL TREATMENT

Laboratory Demographics

CLIA Number: 05D2276412

Facility Name: VALLEY STAR OLIVE VIEW UCLA CRISIS RESIDENTIAL TREATMENT

Facility Address:
14119 BUCHER AVE
SYLMAR, CA
ZIP 91342
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Facility Phone Number: 818 290-5307

Facility Type: Other - CRISIS RESIDENTIAL TREATM

Certificate Type: Waiver
NPI Number: 1053065045

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 05D2276412
LAB Type Other - CRISIS RESIDENTIAL TREATM
Facility Name VALLEY STAR OLIVE VIEW UCLA CRISIS RESIDENTIAL TREATMENT
Street 14119 BUCHER AVE
City SYLMAR
State CA
ZIP 91342
Phone 818 290-5307
CertificateType 4
CertificateEffectiveDate 2/8/2023
CertificateExpirationDate 2/7/2025
FacilityType Waiver

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