| NPI | 1386954907 |
|---|---|
| Other Name | LIFESTANCE HEALTH, INC |
| Entity Type | Organization |
| Authorized Contact | KRISTINA DORRENE CONRAD Credentialing Coordinator 517-882-3732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2010-10-16 |
| Last Update Date | 2021-12-09 |