21D2282568 CLIA NUMBER - COMMUNITY THERAPEUTIC CENTER

Laboratory Demographics

CLIA Number: 21D2282568

Facility Name: COMMUNITY THERAPEUTIC CENTER

Facility Address:
4325 FORBES BLVD #A
LANHAM, MD
ZIP 20706
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Facility Phone Number: 240 764-5133

Facility Type: Other - OUTPATIENT

Certificate Type: Waiver

NPI Number: 1265954226

Taxonomy: 261QM0850X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

CLIA Record

Field Name	Field Value
CLIA Number	21D2282568
LAB Type	Other - OUTPATIENT
Facility Name	COMMUNITY THERAPEUTIC CENTER
Street	4325 FORBES BLVD #A
City	LANHAM
State	MD
ZIP	20706
Phone	240 764-5133
CertificateType	4
CertificateEffectiveDate	5/23/2023
CertificateExpirationDate	5/22/2025
FacilityType	Waiver

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