| NPI | 1013598317 |
|---|---|
| Other Name | LIFELINE RECOVERY CENTER, INC. WOMEN'S CAMPUS |
| Entity Type | Organization |
| Authorized Contact | ASHLEY RUBEENE MILLER Executive Director 270-227-1745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2021-04-19 |
| Last Update Date | 2024-02-13 |