| NPI | 1073012670 |
|---|---|
| Doing Business As | LIFE-LINE BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | LEON MARTEL HARRELL Owner/Manager 702-906-3467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2018-02-08 |