29D2016142 CLIA NUMBER - DESERT TREATMENT CLINIC

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Laboratory Demographics

CLIA Number: 29D2016142

Facility Name: DESERT TREATMENT CLINIC

Facility Address:
1546 W WARM SPRING RD STE 130
HENDERSON, NV
ZIP 89014
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Facility Phone Number: 702 248-0000

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1720582570

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	29D2016142
LAB Type	Physician Office
Facility Name	DESERT TREATMENT CLINIC
Street	1546 W WARM SPRING RD STE 130
City	HENDERSON
State	NV
ZIP	89014
Phone	702 248-0000
CertificateType	4
CertificateEffectiveDate	11/12/2022
CertificateExpirationDate	11/11/2024
FacilityType	Waiver

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