05D2295448 CLIA NUMBER - STAR VIEW RANCHO LOS AMIGOS CRTP

Laboratory Demographics

CLIA Number: 05D2295448

Facility Name: STAR VIEW RANCHO LOS AMIGOS CRTP

Facility Address:
7755 LEEDS ST
DOWNEY, CA
ZIP 90242
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Facility Phone Number: 562 719-2866

Facility Type: Other - CRISIS RESIDENTIAL TREATM

Certificate Type: Waiver

NPI Number: 1710633326

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	05D2295448
LAB Type	Other - CRISIS RESIDENTIAL TREATM
Facility Name	STAR VIEW RANCHO LOS AMIGOS CRTP
Street	7755 LEEDS ST
City	DOWNEY
State	CA
ZIP	90242
Phone	562 719-2866
CertificateType	4
CertificateEffectiveDate	12/12/2023
CertificateExpirationDate	12/11/2025
FacilityType	Waiver

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