21D2143511 CLIA NUMBER - RECOVERY CENTERS OF AMERICA CAPITAL REGION

Laboratory Demographics

CLIA Number: 21D2143511

Facility Name: RECOVERY CENTERS OF AMERICA CAPITAL REGION

Facility Address:
11100 BILLINGLSEY ROAD
WALDORF, MD
ZIP 20602
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Facility Phone Number: 610 994-2928

Facility Type: Other - RECOVERY CENTER

Certificate Type: Waiver

NPI Number: 1073021853

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	21D2143511
LAB Type	Other - RECOVERY CENTER
Facility Name	RECOVERY CENTERS OF AMERICA CAPITAL REGION
Street	11100 BILLINGLSEY ROAD
City	WALDORF
State	MD
ZIP	20602
Phone	610 994-2928
CertificateType	4
CertificateEffectiveDate	1/31/2024
CertificateExpirationDate	1/30/2026
FacilityType	Waiver

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