20D2246100 CLIA NUMBER - RIVERS EDGE BEHAVIORAL HEALTH SERVICES, LLC

Laboratory Demographics

CLIA Number: 20D2246100

Facility Name: RIVERS EDGE BEHAVIORAL HEALTH SERVICES, LLC

Facility Address:
883 MAIN STREET
SPRINGFIELD, ME
ZIP 04487
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Facility Phone Number: 207 738-2488

Facility Type: Other - SUBSTANCE ABUSE FACILITY

Certificate Type: Waiver

NPI Number: 1659985125

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	20D2246100
LAB Type	Other - SUBSTANCE ABUSE FACILITY
Facility Name	RIVERS EDGE BEHAVIORAL HEALTH SERVICES, LLC
Street	883 MAIN STREET
City	SPRINGFIELD
State	ME
ZIP	04487
Phone	207 738-2488
CertificateType	4
CertificateEffectiveDate	12/21/2023
CertificateExpirationDate	12/20/2025
FacilityType	Waiver

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