| NPI | 1437223922 |
|---|---|
| Doing Business As | LIFE LINE COUNSELING CENTER |
| Entity Type | Organization |
| Authorized Contact | GEORGE LYNDON SWANBERG President 703-691-3029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0718000188) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904006265) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2020-08-22 |