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PRINTED: 05/20/2019 FORM APPROVEDDivision of Health Service Regulation STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:(X2) MULTIPLE CONSTRUCTION A.
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Provide details about your addiction history, including the substances you have been using and any previous treatment you have received.
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McLeod Addictive Disease Center-Concord is a treatment facility specializing in addiction recovery and treatment.
Individuals or entities who have received services from McLeod Addictive Disease Center in Concord may be required to file.
To fill out McLeod Addictive Disease Center-Concord, you will need to provide detailed information about the services received and any payments made.
The purpose of McLeod Addictive Disease Center-Concord is to track and report on addiction treatment services provided.
Information such as the type of treatment received, dates of service, and payments made must be reported on McLeod Addictive Disease Center-Concord.
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