17D0906943 CLIA NUMBER - ATCHISON VALLEY HOPE

Laboratory Demographics

CLIA Number: 17D0906943

Facility Name: ATCHISON VALLEY HOPE

Facility Address:
1816 NORTH SECOND STREET
ATCHISON, KS
ZIP 66002
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Facility Phone Number: 785 877-5111

Facility Type: Other - SUBSTNC USE DISORDER FAC

Certificate Type: Waiver

NPI Number: 1174553085

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	17D0906943
LAB Type	Other - SUBSTNC USE DISORDER FAC
Facility Name	ATCHISON VALLEY HOPE
Street	1816 NORTH SECOND STREET
City	ATCHISON
State	KS
ZIP	66002
Phone	785 877-5111
CertificateType	4
CertificateEffectiveDate	10/6/2023
CertificateExpirationDate	10/5/2025
FacilityType	Waiver

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