11D2274866 CLIA NUMBER - GRACIOUS HEALTH & HUMAN SERVICES, INC

Laboratory Demographics

CLIA Number: 11D2274866

Facility Name: GRACIOUS HEALTH & HUMAN SERVICES, INC

Facility Address:
223 SCENIC HIGHWAY, SUITE 100
LAWRENCEVILLE, GA
ZIP 30046
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Facility Phone Number: 404 353-7037

Facility Type: Other - URINE SCREEN ALCOHOL DRUG

Certificate Type: Waiver

NPI Number: 1861104648

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	11D2274866
LAB Type	Other - URINE SCREEN ALCOHOL DRUG
Facility Name	GRACIOUS HEALTH & HUMAN SERVICES, INC
Street	223 SCENIC HIGHWAY, SUITE 100
City	LAWRENCEVILLE
State	GA
ZIP	30046
Phone	404 353-7037
CertificateType	4
CertificateEffectiveDate	1/11/2023
CertificateExpirationDate	1/10/2025
FacilityType	Waiver

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