22D2216614 CLIA NUMBER - BLUE HILLS RECOVERY, LLC DBA BLUE HILLS HEALTH AND WELLNESS

Laboratory Demographics

CLIA Number: 22D2216614

Facility Name: BLUE HILLS RECOVERY, LLC DBA BLUE HILLS HEALTH AND WELLNESS

Facility Address:
474 GROVE STREET
WORCESTER, MA
ZIP 01605
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Facility Phone Number: 954 857-4976

Facility Type: Other - MH/SUD TREATMENT CTR

Certificate Type: Waiver

NPI Number: 1174112569

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	22D2216614
LAB Type	Other - MH/SUD TREATMENT CTR
Facility Name	BLUE HILLS RECOVERY, LLC DBA BLUE HILLS HEALTH AND WELLNESS
Street	474 GROVE STREET
City	WORCESTER
State	MA
ZIP	01605
Phone	954 857-4976
CertificateType	4
CertificateEffectiveDate	3/15/2023
CertificateExpirationDate	3/14/2025
FacilityType	Waiver

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