NPI | 1619690401 |
---|---|
Doing Business As | LIFEMARK BEHAVIORAL HEALTH |
Entity Type | Organization |
Authorized Contact | JOHN MICHAEL EVOSEVICH Owner/CEO 760-413-1951 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2022-09-26 |
Last Update Date | 2022-09-26 |