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 |