10D2195664 CLIA NUMBER - COMPLETE DIMENSIONS BEHAVIORAL HEALTH CORP

Laboratory Demographics

CLIA Number: 10D2195664

Facility Name: COMPLETE DIMENSIONS BEHAVIORAL HEALTH CORP

Facility Address:
5991 CHESTER AVE SUITE 106
JACKSONVILLE, FL
ZIP 32217
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Facility Phone Number: 321 438-5594

Facility Type: Mobile Laboratory

Certificate Type: Waiver

NPI Number: 1588292502

Taxonomy: 2084P0800X - Psychiatry & Neurology
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

CLIA Record

Field Name Field Value
CLIA Number 10D2195664
LAB Type Mobile Laboratory
Facility Name COMPLETE DIMENSIONS BEHAVIORAL HEALTH CORP
Street 5991 CHESTER AVE SUITE 106
City JACKSONVILLE
State FL
ZIP 32217
Phone 321 438-5594
CertificateType 4
CertificateEffectiveDate 10/12/2022
CertificateExpirationDate 10/11/2024
FacilityType Waiver

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