10D2216097 CLIA NUMBER - ASPEN BEHAVIORAL HEALTH, LLC

Laboratory Demographics

CLIA Number: 10D2216097

Facility Name: ASPEN BEHAVIORAL HEALTH, LLC

Facility Address:
900 OSCEOLA DRIVE SUITE 200
WEST PALM BEACH, FL
ZIP 33409
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Facility Phone Number: 561 593-2900

Facility Type: Other - SUBSTANCE ABUSE TREATMENT

Certificate Type: Waiver

NPI Number: 1750991923

Taxonomy: 261QR0405X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2216097
LAB Type	Other - SUBSTANCE ABUSE TREATMENT
Facility Name	ASPEN BEHAVIORAL HEALTH, LLC
Street	900 OSCEOLA DRIVE SUITE 200
City	WEST PALM BEACH
State	FL
ZIP	33409
Phone	561 593-2900
CertificateType	4
CertificateEffectiveDate	3/9/2023
CertificateExpirationDate	3/8/2025
FacilityType	Waiver

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