| NPI | 1508368986 |
|---|---|
| Doing Business As | LIFELINE CENTRAL |
| Entity Type | Organization |
| Authorized Contact | JOHN DELORENZO Administrative Director 480-641-1165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: AZ OTC8596) |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2020-09-28 |