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10D2176679 CLIA NUMBER - HEALTH HAVEN LLC

Laboratory Demographics

CLIA Number: 10D2176679

Facility Name: HEALTH HAVEN LLC

Facility Address:
308 NW 5TH AVE
OKEECHOBEE, FL
ZIP 34972
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Facility Phone Number: 786 863-3325

Facility Type: Community Clinic

Certificate Type: Waiver
NPI Number: 1265824858

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 10D2176679
LAB Type Community Clinic
Facility Name HEALTH HAVEN LLC
Street 308 NW 5TH AVE
City OKEECHOBEE
State FL
ZIP 34972
Phone 786 863-3325
CertificateType 4
CertificateEffectiveDate 12/20/2023
CertificateExpirationDate 12/19/2025
FacilityType Waiver

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