23D2178459 CLIA NUMBER - BRIGHTWELL BEHAVIORAL HEALTH

Laboratory Demographics

CLIA Number: 23D2178459

Facility Name: BRIGHTWELL BEHAVIORAL HEALTH

Facility Address:
3512 COOLIDGE ROAD
EAST LANSING, MI
ZIP 48823
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Facility Phone Number: 513 318-5889

Facility Type: Hospital

Certificate Type: Waiver

NPI Number: 1285277814

Taxonomy: 283Q00000X - Psychiatric Hospital
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.

CLIA Record

Field Name	Field Value
CLIA Number	23D2178459
LAB Type	Hospital
Facility Name	BRIGHTWELL BEHAVIORAL HEALTH
Street	3512 COOLIDGE ROAD
City	EAST LANSING
State	MI
ZIP	48823
Phone	513 318-5889
CertificateType	4
CertificateEffectiveDate	2/4/2024
CertificateExpirationDate	2/3/2026
FacilityType	Waiver

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