36D0929720 CLIA NUMBER - APPLEWOOD CENTERS INC JONES CAMPUS

Laboratory Demographics

CLIA Number: 36D0929720

Facility Name: APPLEWOOD CENTERS INC JONES CAMPUS

Facility Address:
3518 WEST 25TH STREET
CLEVELAND, OH
ZIP 44109
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Facility Phone Number: 216 741-2241

Facility Type: School/Student Health Service

Certificate Type: Waiver

NPI Number: 1548878515

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	36D0929720
LAB Type	School/Student Health Service
Facility Name	APPLEWOOD CENTERS INC JONES CAMPUS
Street	3518 WEST 25TH STREET
City	CLEVELAND
State	OH
ZIP	44109
Phone	216 741-2241
CertificateType	4
CertificateEffectiveDate	6/23/2023
CertificateExpirationDate	6/22/2025
FacilityType	Waiver

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