NPI | 1689128605 |
---|---|
Doing Business As | LIFESTANCE |
Doing Business As | ASCENDANT BEHAVIORAL HEALTH DBA LIFESTANCE |
Entity Type | Organization |
Authorized Contact | RYAN PARDO Chief Legal Officer 425-279-8500 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 2662563501) |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2016-08-08 |
Last Update Date | 2023-10-03 |