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34D2131653 CLIA NUMBER - WILSON PROF SERV TC INC D/B/A BHG WILSON TREATMENT CENTER

Laboratory Demographics

CLIA Number: 34D2131653

Facility Name: WILSON PROF SERV TC INC D/B/A BHG WILSON TREATMENT CENTER

Facility Address:
3709 NASH STREET
WILSON, NC
ZIP 27896
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Facility Phone Number: 252 206-5799

Facility Type: Other - SUBSTANCE ABUSE TREATMENT

Certificate Type: Waiver
NPI Number: 1346667938

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 34D2131653
LAB Type Other - SUBSTANCE ABUSE TREATMENT
Facility Name WILSON PROF SERV TC INC D/B/A BHG WILSON TREATMENT CENTER
Street 3709 NASH STREET
City WILSON
State NC
ZIP 27896
Phone 252 206-5799
CertificateType 4
CertificateEffectiveDate 6/5/2023
CertificateExpirationDate 6/4/2025
FacilityType Waiver

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