44D0911478 CLIA NUMBER - VILLAGE BEHAVIORAL HEALTH

Laboratory Demographics

CLIA Number: 44D0911478

Facility Name: VILLAGE BEHAVIORAL HEALTH

Facility Address:
2334 JONES BEND ROAD
LOUISVILLE, TN
ZIP 37777
Get Directions

Facility Phone Number: 865 380-1403

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1598998619

Taxonomy: 322D00000X - Residential Treatment Facility, Emotionally Disturbed Children
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

CLIA Record

Field Name	Field Value
CLIA Number	44D0911478
LAB Type	Other
Facility Name	VILLAGE BEHAVIORAL HEALTH
Street	2334 JONES BEND ROAD
City	LOUISVILLE
State	TN
ZIP	37777
Phone	865 380-1403
CertificateType	4
CertificateEffectiveDate	2/7/2024
CertificateExpirationDate	2/6/2026
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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