10D0720236 CLIA NUMBER - APALACHEE CENTER INC DBA EASTSIDE PSYCHIATRIC HOSPITAL

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Laboratory Demographics

CLIA Number: 10D0720236

Facility Name: APALACHEE CENTER INC DBA EASTSIDE PSYCHIATRIC HOSPITAL

Facility Address:
2634-B CAPITAL CIRCLE NE
TALLAHASSEE, FL
ZIP 32308
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Facility Phone Number: 850 523-3333

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1033215504

Taxonomy: 283Q00000X - Psychiatric Hospital
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.

CLIA Record

Field Name	Field Value
CLIA Number	10D0720236
LAB Type	Other
Facility Name	APALACHEE CENTER INC DBA EASTSIDE PSYCHIATRIC HOSPITAL
Street	2634-B CAPITAL CIRCLE NE
City	TALLAHASSEE
State	FL
ZIP	32308
Phone	850 523-3333
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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