Healther Providers Data Logo

10D2009536 CLIA NUMBER - CENTRAL FLORIDA TREATMENT CENTER PALM BAY

Laboratory Demographics

CLIA Number: 10D2009536

Facility Name: CENTRAL FLORIDA TREATMENT CENTER PALM BAY

Facility Address:
2198 HARRIS AVE
PALM BAY, FL
ZIP 32905
Get Directions

Facility Phone Number: 321 951-9750

Facility Type: Community Clinic

Certificate Type: Waiver
NPI Number: 1861689135

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 10D2009536
LAB Type Community Clinic
Facility Name CENTRAL FLORIDA TREATMENT CENTER PALM BAY
Street 2198 HARRIS AVE
City PALM BAY
State FL
ZIP 32905
Phone 321 951-9750
CertificateType 4
CertificateEffectiveDate 7/7/2022
CertificateExpirationDate 7/6/2024
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

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