10D2215413 CLIA NUMBER - OLYMPIC BEHAVIORAL HEALTH LLC

Laboratory Demographics

CLIA Number: 10D2215413

Facility Name: OLYMPIC BEHAVIORAL HEALTH LLC

Facility Address:
3618 LANTANA ROAD STE 200
LANTANA, FL
ZIP 33462
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Facility Phone Number: 561 272-0800

Facility Type: Other - SUBSTANCE ABUSE TRTMT CTR

Certificate Type: Waiver

NPI Number: 1558965475

Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

CLIA Record

Field Name	Field Value
CLIA Number	10D2215413
LAB Type	Other - SUBSTANCE ABUSE TRTMT CTR
Facility Name	OLYMPIC BEHAVIORAL HEALTH LLC
Street	3618 LANTANA ROAD STE 200
City	LANTANA
State	FL
ZIP	33462
Phone	561 272-0800
CertificateType	4
CertificateEffectiveDate	3/3/2023
CertificateExpirationDate	3/2/2025
FacilityType	Waiver

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