34D2150753 CLIA NUMBER - COLUMBUS HOUSE

Laboratory Demographics

CLIA Number: 34D2150753

Facility Name: COLUMBUS HOUSE

Facility Address:
220 EAST COLUMBUS STREET
WHITEVILLE, NC
ZIP 28472
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Facility Phone Number: 910 642-5697

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1164866232

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	34D2150753
LAB Type	Assisted Living Facility
Facility Name	COLUMBUS HOUSE
Street	220 EAST COLUMBUS STREET
City	WHITEVILLE
State	NC
ZIP	28472
Phone	910 642-5697
CertificateType	4
CertificateEffectiveDate	7/3/2022
CertificateExpirationDate	7/2/2024
FacilityType	Waiver

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