34D2148494 CLIA NUMBER - FIRST AT BLUERIDGE, INC WOMEN AND CHILDREN FIRST

Laboratory Demographics

CLIA Number: 34D2148494

Facility Name: FIRST AT BLUERIDGE, INC WOMEN AND CHILDREN FIRST

Facility Address:
32 KNOX ROAD, 12 TUPPER ROAD
RIDGECREST, NC
ZIP 28770
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Facility Phone Number: 828 669-0011

Facility Type: Other - RESIDENTAL THERAPY COMM

Certificate Type: Waiver

NPI Number: 1942481957

Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

CLIA Record

Field Name	Field Value
CLIA Number	34D2148494
LAB Type	Other - RESIDENTAL THERAPY COMM
Facility Name	FIRST AT BLUERIDGE, INC WOMEN AND CHILDREN FIRST
Street	32 KNOX ROAD, 12 TUPPER ROAD
City	RIDGECREST
State	NC
ZIP	28770
Phone	828 669-0011
CertificateType	4
CertificateEffectiveDate	5/14/2024
CertificateExpirationDate	5/13/2026
FacilityType	Waiver

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