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33D2149244 CLIA NUMBER - CHAMPLAIN VALLEY FAMILY CENTER FOR DRUG TREATMENT AND YOUTH SERVICES INC

Laboratory Demographics

CLIA Number: 33D2149244

Facility Name: CHAMPLAIN VALLEY FAMILY CENTER FOR DRUG TREATMENT AND YOUTH SERVICES INC

Facility Address:
20 AMPERSAND DRIVE
PLATTSBURGH, NY
ZIP 12901
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Facility Phone Number: 518 561-8480

Facility Type: Comp. Outpatient Rehab Facility

Certificate Type: Waiver
NPI Number: 1568568962

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 33D2149244
LAB Type Comp. Outpatient Rehab Facility
Facility Name CHAMPLAIN VALLEY FAMILY CENTER FOR DRUG TREATMENT AND YOUTH SERVICES INC
Street 20 AMPERSAND DRIVE
City PLATTSBURGH
State NY
ZIP 12901
Phone 518 561-8480
CertificateType 4
CertificateEffectiveDate 5/29/2018
CertificateExpirationDate 3/26/2027
FacilityType Waiver

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