18D2054116 CLIA NUMBER - ADDICTION RECOVERY CARE - BELLE GROVE SPRINGS

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Laboratory Demographics

CLIA Number: 18D2054116

Facility Name: ADDICTION RECOVERY CARE - BELLE GROVE SPRINGS

Facility Address:
758 STOCKTON RD
WALLINGFORD, KY
ZIP 41093
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Facility Phone Number: 606 638-0938

Facility Type: Other - SUBSTANCE ABUSE TREATMENT

Certificate Type: Waiver

NPI Number: 1447812680

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	18D2054116
LAB Type	Other - SUBSTANCE ABUSE TREATMENT
Facility Name	ADDICTION RECOVERY CARE - BELLE GROVE SPRINGS
Street	758 STOCKTON RD
City	WALLINGFORD
State	KY
ZIP	41093
Phone	606 638-0938
CertificateType	4
CertificateEffectiveDate	9/19/2023
CertificateExpirationDate	9/18/2025
FacilityType	Waiver

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