34D2199079 CLIA NUMBER - STRUCTURE HOUSE, LLC A FACILITY OF ACADIA HEALTHCARE

Laboratory Demographics

CLIA Number: 34D2199079

Facility Name: STRUCTURE HOUSE, LLC A FACILITY OF ACADIA HEALTHCARE

Facility Address:
3017 PICKETT ROAD
DURHAM, NC
ZIP 27705
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Facility Phone Number: 919 493-4205

Facility Type: Other - WEIGHT LOSS FACILITY

Certificate Type: Waiver

NPI Number: 1578742284

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 34D2199079
LAB Type Other - WEIGHT LOSS FACILITY
Facility Name STRUCTURE HOUSE, LLC A FACILITY OF ACADIA HEALTHCARE
Street 3017 PICKETT ROAD
City DURHAM
State NC
ZIP 27705
Phone 919 493-4205
CertificateType 4
CertificateEffectiveDate 11/5/2022
CertificateExpirationDate 11/4/2024
FacilityType Waiver

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