LIFE SOURCE, INC.

ROSEVILLE, CA
NPI1619098332
Entity TypeOrganization
Authorized ContactORVILLE E EASTERLY
Clinical Director
916-784-0110
Organization Subpart ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2007-04-02
Last Update Date2020-08-22
Business Address
LIFE SOURCE, INC.
2530 DOUGLAS BLVD SUITE 160
ROSEVILLE, CA 95661-3989
Phone number: 916-784-0110
Mailing Address
LIFE SOURCE, INC.
2530 DOUGLAS BLVD SUITE 160
ROSEVILLE, CA 95661-3989
Phone number: 916-784-0110
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