20D2216168 CLIA NUMBER - VOLUNTEERS OF AMERICA

Laboratory Demographics

CLIA Number: 20D2216168

Facility Name: VOLUNTEERS OF AMERICA

Facility Address:
14 MAINE ST SUITE 100
BRUNSWICK, ME
ZIP 04011
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Facility Phone Number: 207 730-0269

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1922249846

Taxonomy: 320800000X - Community Based Residential Treatment Facility, Mental Illness
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

CLIA Record

Field Name	Field Value
CLIA Number	20D2216168
LAB Type	Assisted Living Facility
Facility Name	VOLUNTEERS OF AMERICA
Street	14 MAINE ST SUITE 100
City	BRUNSWICK
State	ME
ZIP	04011
Phone	207 730-0269
CertificateType	4
CertificateEffectiveDate	3/10/2023
CertificateExpirationDate	3/9/2025
FacilityType	Waiver

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