18D2163699 CLIA NUMBER - HOPE IN THE MOUNTAINS

Laboratory Demographics

CLIA Number: 18D2163699

Facility Name: HOPE IN THE MOUNTAINS

Facility Address:
105 TRIMBLE CHAPEL SQUARE
PRESTONSBURG, KY
ZIP 41653
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Facility Phone Number: 606 874-0240

Facility Type: Other - RESIDENTIAL & OUTPATIENT

Certificate Type: Waiver

NPI Number: 1124394499

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	18D2163699
LAB Type	Other - RESIDENTIAL & OUTPATIENT
Facility Name	HOPE IN THE MOUNTAINS
Street	105 TRIMBLE CHAPEL SQUARE
City	PRESTONSBURG
State	KY
ZIP	41653
Phone	606 874-0240
CertificateType	4
CertificateEffectiveDate	3/20/2023
CertificateExpirationDate	3/19/2025
FacilityType	Waiver

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