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39D0886198 CLIA NUMBER - CHILDRENS COMMUNITY PEDIATRICS

Laboratory Demographics

CLIA Number: 39D0886198

Facility Name: CHILDRENS COMMUNITY PEDIATRICS

Facility Address:
100 MEDICAL ARTS BLDG #170
KITTANNING, PA
ZIP 16201
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Facility Phone Number: 724 548-8591

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1467097675

Taxonomy: 323P00000X - Psychiatric Residential Treatment Facility
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary

CLIA Record

Field Name Field Value
CLIA Number 39D0886198
LAB Type Physician Office
Facility Name CHILDRENS COMMUNITY PEDIATRICS
Street 100 MEDICAL ARTS BLDG #170
City KITTANNING
State PA
ZIP 16201
Phone 724 548-8591
CertificateType 4
CertificateEffectiveDate 11/15/2022
CertificateExpirationDate 11/14/2024
FacilityType Waiver

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