21D2179505 CLIA NUMBER - NEW BEGINNINGS ADULT MEDICAL DAY CARE

Laboratory Demographics

CLIA Number: 21D2179505

Facility Name: NEW BEGINNINGS ADULT MEDICAL DAY CARE

Facility Address:
3691 OFFUTT RD
RANDALLSTOWN, MD
ZIP 21133
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Facility Phone Number: 443 621-0761

Facility Type: Other - ADULT MEDICAL DAY CARE

Certificate Type: Waiver

NPI Number: 1962939785

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	21D2179505
LAB Type	Other - ADULT MEDICAL DAY CARE
Facility Name	NEW BEGINNINGS ADULT MEDICAL DAY CARE
Street	3691 OFFUTT RD
City	RANDALLSTOWN
State	MD
ZIP	21133
Phone	443 621-0761
CertificateType	4
CertificateEffectiveDate	2/25/2024
CertificateExpirationDate	2/24/2026
FacilityType	Waiver

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