Healther Providers Data Logo

20D2221756 CLIA NUMBER - KIDSPEACE

Laboratory Demographics

CLIA Number: 20D2221756

Facility Name: KIDSPEACE

Facility Address:
16 KIDSPEACE WAY
ELLSWORTH, ME
ZIP 04605
Get Directions

Facility Phone Number: 207 664-1240

Facility Type: School/Student Health Service

Certificate Type: Waiver
NPI Number: 1770956393

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 20D2221756
LAB Type School/Student Health Service
Facility Name KIDSPEACE
Street 16 KIDSPEACE WAY
City ELLSWORTH
State ME
ZIP 04605
Phone 207 664-1240
CertificateType 4
CertificateEffectiveDate 4/23/2023
CertificateExpirationDate 4/22/2025
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

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