24D2149428 CLIA NUMBER - NEW BEGINNINGS WAVERLY, LLC - ESTES

Laboratory Demographics

CLIA Number: 24D2149428

Facility Name: NEW BEGINNINGS WAVERLY, LLC - ESTES

Facility Address:
7300 ESTES AVE
WAVERLY, MN
ZIP 55390
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Facility Phone Number: 763 658-5800

Facility Type: Other - SUBSTANCE ABUSE TREATMENT

Certificate Type: Waiver

NPI Number: 1831413921

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	24D2149428
LAB Type	Other - SUBSTANCE ABUSE TREATMENT
Facility Name	NEW BEGINNINGS WAVERLY, LLC - ESTES
Street	7300 ESTES AVE
City	WAVERLY
State	MN
ZIP	55390
Phone	763 658-5800
CertificateType	4
CertificateEffectiveDate	6/5/2022
CertificateExpirationDate	6/4/2024
FacilityType	Waiver

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