31D0692577 CLIA NUMBER - NORWESCAP WIC PROGRAM

Laboratory Demographics

CLIA Number: 31D0692577

Facility Name: NORWESCAP WIC PROGRAM

Facility Address:
350 MARSHALL ST
PHILLIPSBURG, NJ
ZIP 08865
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Facility Phone Number: 908 454-5011

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1023208956

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	31D0692577
LAB Type	Other
Facility Name	NORWESCAP WIC PROGRAM
Street	350 MARSHALL ST
City	PHILLIPSBURG
State	NJ
ZIP	08865
Phone	908 454-5011
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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