31D2186095 CLIA NUMBER - CORE BEHAVIORAL SERVICES LLC

Laboratory Demographics

CLIA Number: 31D2186095

Facility Name: CORE BEHAVIORAL SERVICES LLC

Facility Address:
280 MAIN ST
METUCHEN, NJ
ZIP 08840
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Facility Phone Number: 860 574-2710

Facility Type: Other - SUBSTANCE ABUSE FACILITY

Certificate Type: Waiver

NPI Number: 1437785490

Taxonomy: 261QR0405X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	31D2186095
LAB Type	Other - SUBSTANCE ABUSE FACILITY
Facility Name	CORE BEHAVIORAL SERVICES LLC
Street	280 MAIN ST
City	METUCHEN
State	NJ
ZIP	08840
Phone	860 574-2710
CertificateType	4
CertificateEffectiveDate	6/15/2022
CertificateExpirationDate	6/14/2024
FacilityType	Waiver

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