34D2053740 CLIA NUMBER - COMPREHENSIVE COMMUNITY CARE INC

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Laboratory Demographics

CLIA Number: 34D2053740

Facility Name: COMPREHENSIVE COMMUNITY CARE INC

Facility Address:
104 HICKORY GLEN LANE
DURHAM, NC
ZIP 27703
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Facility Phone Number: 919 489-4202

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1619384021

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	34D2053740
LAB Type	Assisted Living Facility
Facility Name	COMPREHENSIVE COMMUNITY CARE INC
Street	104 HICKORY GLEN LANE
City	DURHAM
State	NC
ZIP	27703
Phone	919 489-4202
CertificateType	4
CertificateEffectiveDate	7/26/2022
CertificateExpirationDate	7/25/2024
FacilityType	Waiver

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