| NPI | 1205213527 |
|---|---|
| Doing Business As | DIVERSIFIED LIFESTYLE SERVICES |
| Entity Type | Organization |
| Authorized Contact | ANTOINETTE LANCASTER Executive Director 202-239-5563 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: DC PRC14152) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: DC CACII1131) |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2018-12-10 |