49D2217511 CLIA NUMBER - ROANOKE RESOURCE

Laboratory Demographics

CLIA Number: 49D2217511

Facility Name: ROANOKE RESOURCE

Facility Address:
402 CAMPBELL AVE SW
ROANOKE, VA
ZIP 24016
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Facility Phone Number: 540 400-7431

Facility Type: Other - BEHAVIORAL HEALTH

Certificate Type: Waiver

NPI Number: 1104170679

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	49D2217511
LAB Type	Other - BEHAVIORAL HEALTH
Facility Name	ROANOKE RESOURCE
Street	402 CAMPBELL AVE SW
City	ROANOKE
State	VA
ZIP	24016
Phone	540 400-7431
CertificateType	4
CertificateEffectiveDate	3/22/2023
CertificateExpirationDate	3/21/2025
FacilityType	Waiver

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