| NPI | 1548706765 |
|---|---|
| Doing Business As | LIFE LEADERSHIP ACADEMY |
| Entity Type | Organization |
| Authorized Contact | DAVID HARTFIELD-DYELS CEO 510-473-2410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2021-11-24 |