| NPI | 1578147971 |
|---|---|
| Doing Business As | LIFESTREAM BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | MATTHEW J MCILRATH Owner 023-798-7033 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2021-05-11 |
| Last Update Date | 2021-05-11 |