23D2205571 CLIA NUMBER - BEAR RIVER HEALTH - CHEBOYGAN

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Laboratory Demographics

CLIA Number: 23D2205571

Facility Name: BEAR RIVER HEALTH - CHEBOYGAN

Facility Address:
218 WATER STREET
CHEBOYGAN, MI
ZIP 49721
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Facility Phone Number: 231 751-0070

Facility Type: Comp. Outpatient Rehab Facility

Certificate Type: Waiver

NPI Number: 1750791505

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	23D2205571
LAB Type	Comp. Outpatient Rehab Facility
Facility Name	BEAR RIVER HEALTH - CHEBOYGAN
Street	218 WATER STREET
City	CHEBOYGAN
State	MI
ZIP	49721
Phone	231 751-0070
CertificateType	4
CertificateEffectiveDate	12/15/2022
CertificateExpirationDate	12/14/2024
FacilityType	Waiver

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