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10D2009587 CLIA NUMBER - CENTRAL FLORIDA TREATMENT CENTER LAKE WORTH

Laboratory Demographics

CLIA Number: 10D2009587

Facility Name: CENTRAL FLORIDA TREATMENT CENTER LAKE WORTH

Facility Address:
3155 LAKE WORTH RD STE 2
LAKE WORTH, FL
ZIP 33461
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Facility Phone Number: 561 439-8440

Facility Type: Community Clinic

Certificate Type: Waiver
NPI Number: 1508050147

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 10D2009587
LAB Type Community Clinic
Facility Name CENTRAL FLORIDA TREATMENT CENTER LAKE WORTH
Street 3155 LAKE WORTH RD STE 2
City LAKE WORTH
State FL
ZIP 33461
Phone 561 439-8440
CertificateType 4
CertificateEffectiveDate 7/8/2022
CertificateExpirationDate 7/7/2024
FacilityType Waiver

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