06D2208304 CLIA NUMBER - REGION SIX ALCOHOL & DRUG ABUSE, INC (RESADA)

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Laboratory Demographics

CLIA Number: 06D2208304

Facility Name: REGION SIX ALCOHOL & DRUG ABUSE, INC (RESADA)

Facility Address:
210 E 2ND ST
LAS ANIMAS, CO
ZIP 81054
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Facility Phone Number: 719 456-2600

Facility Type: Comp. Outpatient Rehab Facility

Certificate Type: Waiver

NPI Number: 1992768790

Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

CLIA Record

Field Name	Field Value
CLIA Number	06D2208304
LAB Type	Comp. Outpatient Rehab Facility
Facility Name	REGION SIX ALCOHOL & DRUG ABUSE, INC (RESADA)
Street	210 E 2ND ST
City	LAS ANIMAS
State	CO
ZIP	81054
Phone	719 456-2600
CertificateType	4
CertificateEffectiveDate	1/5/2023
CertificateExpirationDate	1/4/2025
FacilityType	Waiver

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