Healther Providers Data Logo

10D2131067 CLIA NUMBER - HONEY LAKE CLINIC

Laboratory Demographics

CLIA Number: 10D2131067

Facility Name: HONEY LAKE CLINIC

Facility Address:
ATTN MEDICAL 1450 NW HONEY LAKE RD
GREENVILLE, FL
ZIP 32331
Get Directions

Facility Phone Number: 954 205-0505

Facility Type: Other - MENTAL HEALTH - SUBSTANCE

Certificate Type: Waiver
NPI Number: 1508399056

Taxonomy: 323P00000X - Psychiatric Residential Treatment Facility
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary

CLIA Record

Field Name Field Value
CLIA Number 10D2131067
LAB Type Other - MENTAL HEALTH - SUBSTANCE
Facility Name HONEY LAKE CLINIC
Street ATTN MEDICAL 1450 NW HONEY LAKE RD
City GREENVILLE
State FL
ZIP 32331
Phone 954 205-0505
CertificateType 4
CertificateEffectiveDate 5/23/2023
CertificateExpirationDate 5/22/2025
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