34D2098612 CLIA NUMBER - WILSON PREGNANCY CENTER

Laboratory Demographics

CLIA Number: 34D2098612

Facility Name: WILSON PREGNANCY CENTER

Facility Address:
702 WEST BROAD STREET
WILSON, NC
ZIP 27893
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Facility Phone Number: 252 237-6833

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1497141550

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 34D2098612
LAB Type Practitioner Other
Facility Name WILSON PREGNANCY CENTER
Street 702 WEST BROAD STREET
City WILSON
State NC
ZIP 27893
Phone 252 237-6833
CertificateType 4
CertificateEffectiveDate 7/10/2023
CertificateExpirationDate 7/9/2025
FacilityType Waiver

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