| NPI | 1245944511 |
|---|---|
| Doing Business As | LIDA REDIRECT ASSIST LLC |
| Entity Type | Organization |
| Authorized Contact | SOPHIA BURMA Brand Officer 760-627-0187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2023-01-10 |
| Last Update Date | 2023-11-30 |