39D2006114 CLIA NUMBER - AXIOM FAMILY COUNSELING SERVICES INC

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Laboratory Demographics

CLIA Number: 39D2006114

Facility Name: AXIOM FAMILY COUNSELING SERVICES INC

Facility Address:
630 CHERRY TREE LANE
UNIONTOWN, PA
ZIP 15401
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Facility Phone Number: 866 472-9466

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1871891168

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	39D2006114
LAB Type	Physician Office
Facility Name	AXIOM FAMILY COUNSELING SERVICES INC
Street	630 CHERRY TREE LANE
City	UNIONTOWN
State	PA
ZIP	15401
Phone	866 472-9466
CertificateType	4
CertificateEffectiveDate	4/13/2024
CertificateExpirationDate	4/12/2026
FacilityType	Waiver

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