23D1040621 CLIA NUMBER - BAY HUMAN SERVICES

Laboratory Demographics

CLIA Number: 23D1040621

Facility Name: BAY HUMAN SERVICES

Facility Address:
3463 DEEP RIVER ROAD
STANDISH, MI
ZIP 48658
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Facility Phone Number: 989 846-9631

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1619020856

Taxonomy: 320800000X - Community Based Residential Treatment Facility, Mental Illness
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

CLIA Record

Field Name	Field Value
CLIA Number	23D1040621
LAB Type	Assisted Living Facility
Facility Name	BAY HUMAN SERVICES
Street	3463 DEEP RIVER ROAD
City	STANDISH
State	MI
ZIP	48658
Phone	989 846-9631
CertificateType	4
CertificateEffectiveDate	5/12/2023
CertificateExpirationDate	5/11/2025
FacilityType	Waiver

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