49D2124301 CLIA NUMBER - HAMPTON NEWPORT NEWS COMMUNITY SERVICES BOARD

Laboratory Demographics

CLIA Number: 49D2124301

Facility Name: HAMPTON NEWPORT NEWS COMMUNITY SERVICES BOARD

Facility Address:
200 MEDICAL DRIVE
HAMPTON, VA
ZIP 23666
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Facility Phone Number: 757 788-0200

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1659424448

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	49D2124301
LAB Type	Community Clinic
Facility Name	HAMPTON NEWPORT NEWS COMMUNITY SERVICES BOARD
Street	200 MEDICAL DRIVE
City	HAMPTON
State	VA
ZIP	23666
Phone	757 788-0200
CertificateType	4
CertificateEffectiveDate	1/12/2023
CertificateExpirationDate	1/11/2025
FacilityType	Waiver

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