44D2004248 CLIA NUMBER - BEHAVIORAL HEALTHCARE CENTER AT CLARKSVILLE DBA UNITY PSYCHIATRIC CARE-CLARKSVILLE

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Laboratory Demographics

CLIA Number: 44D2004248

Facility Name: BEHAVIORAL HEALTHCARE CENTER AT CLARKSVILLE DBA UNITY PSYCHIATRIC CARE-CLARKSVILLE

Facility Address:
930 PROFESSIONAL PARK DR
CLARKSVILLE, TN
ZIP 37040
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Facility Phone Number: 931 538-6420

Facility Type: Other - BEHAVIORAL HEALTH HOSP

Certificate Type: Waiver

NPI Number: 1346570777

Taxonomy: 283Q00000X - Psychiatric Hospital
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.

CLIA Record

Field Name	Field Value
CLIA Number	44D2004248
LAB Type	Other - BEHAVIORAL HEALTH HOSP
Facility Name	BEHAVIORAL HEALTHCARE CENTER AT CLARKSVILLE DBA UNITY PSYCHIATRIC CARE-CLARKSVILLE
Street	930 PROFESSIONAL PARK DR
City	CLARKSVILLE
State	TN
ZIP	37040
Phone	931 538-6420
CertificateType	4
CertificateEffectiveDate	3/2/2024
CertificateExpirationDate	3/1/2026
FacilityType	Waiver

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