31D2177454 CLIA NUMBER - ABSOLUTE AWAKENINGS TREATMENT CENTER LLC

Laboratory Demographics

CLIA Number: 31D2177454

Facility Name: ABSOLUTE AWAKENINGS TREATMENT CENTER LLC

Facility Address:
3000 ROUTE 10 W
MORRIS PLAINS, NJ
ZIP 07950
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Facility Phone Number: 973 765-4291

Facility Type: Comp. Outpatient Rehab Facility

Certificate Type: Waiver

NPI Number: 1265088892

Taxonomy: 261QR0405X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	31D2177454
LAB Type	Comp. Outpatient Rehab Facility
Facility Name	ABSOLUTE AWAKENINGS TREATMENT CENTER LLC
Street	3000 ROUTE 10 W
City	MORRIS PLAINS
State	NJ
ZIP	07950
Phone	973 765-4291
CertificateType	4
CertificateEffectiveDate	1/13/2024
CertificateExpirationDate	1/12/2026
FacilityType	Waiver

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