22D2121007 CLIA NUMBER - HABIT OPCO INC

Laboratory Demographics

CLIA Number: 22D2121007

Facility Name: HABIT OPCO INC

Facility Address:
155 AIRPORT ROAD
FITCHBURG, MA
ZIP 01420
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Facility Phone Number: 978 343-6300

Facility Type: Comp. Outpatient Rehab Facility

Certificate Type: Waiver

NPI Number: 1396066817

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	22D2121007
LAB Type	Comp. Outpatient Rehab Facility
Facility Name	HABIT OPCO INC
Street	155 AIRPORT ROAD
City	FITCHBURG
State	MA
ZIP	01420
Phone	978 343-6300
CertificateType	4
CertificateEffectiveDate	10/28/2022
CertificateExpirationDate	10/27/2024
FacilityType	Waiver

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