10D2271688 CLIA NUMBER - JCW MENTAL HEALTH LLC

Laboratory Demographics

CLIA Number: 10D2271688

Facility Name: JCW MENTAL HEALTH LLC

Facility Address:
7392 NW 35TH TERR, UNIT 303
MIAMI, FL
ZIP 33122
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Facility Phone Number: 786 695-2202

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1285308965

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	10D2271688
LAB Type	Physician Office
Facility Name	JCW MENTAL HEALTH LLC
Street	7392 NW 35TH TERR, UNIT 303
City	MIAMI
State	FL
ZIP	33122
Phone	786 695-2202
CertificateType	4
CertificateEffectiveDate	11/7/2022
CertificateExpirationDate	11/6/2024
FacilityType	Waiver

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