36D0955175 CLIA NUMBER - RICHLAND CORRECTIONAL INSTITUTE

Laboratory Demographics

CLIA Number: 36D0955175

Facility Name: RICHLAND CORRECTIONAL INSTITUTE

Facility Address:
1001 OLIVESBURG ROAD
MANSFIELD, OH
ZIP 44905
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Facility Phone Number: 419 526-2100

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1003202680

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	36D0955175
LAB Type	Other
Facility Name	RICHLAND CORRECTIONAL INSTITUTE
Street	1001 OLIVESBURG ROAD
City	MANSFIELD
State	OH
ZIP	44905
Phone	419 526-2100
CertificateType	4
CertificateEffectiveDate	12/21/2022
CertificateExpirationDate	12/20/2024
FacilityType	Waiver

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