34D2133973 CLIA NUMBER - GREENVILLE RECOVERY CENTER

Laboratory Demographics

CLIA Number: 34D2133973

Facility Name: GREENVILLE RECOVERY CENTER

Facility Address:
622 S MEMORIAL DR
GREENVILLE, NC
ZIP 27834
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Facility Phone Number: 252 353-2555

Facility Type: Other - SUBSTANCE ABUSE

Certificate Type: Waiver

NPI Number: 1902056039

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	34D2133973
LAB Type	Other - SUBSTANCE ABUSE
Facility Name	GREENVILLE RECOVERY CENTER
Street	622 S MEMORIAL DR
City	GREENVILLE
State	NC
ZIP	27834
Phone	252 353-2555
CertificateType	4
CertificateEffectiveDate	7/24/2023
CertificateExpirationDate	7/23/2025
FacilityType	Waiver

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