38D2149982 CLIA NUMBER - MID COLUMBIA CENTER FOR LIVING

Laboratory Demographics

CLIA Number: 38D2149982

Facility Name: MID COLUMBIA CENTER FOR LIVING

Facility Address:
1060 WEBBER STREET
THE DALLES, OR
ZIP 97058
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Facility Phone Number: 541 296-5452

Facility Type: Other - CERT. COM BEHAVIORAL HC

Certificate Type: Waiver

NPI Number: 1588085864

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	38D2149982
LAB Type	Other - CERT. COM BEHAVIORAL HC
Facility Name	MID COLUMBIA CENTER FOR LIVING
Street	1060 WEBBER STREET
City	THE DALLES
State	OR
ZIP	97058
Phone	541 296-5452
CertificateType	4
CertificateEffectiveDate	6/14/2022
CertificateExpirationDate	6/13/2024
FacilityType	Waiver

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