NPI | 1699356675 |
---|---|
Doing Business As | LIFEWISE BEHAVIORAL HEALTH |
Entity Type | Organization |
Authorized Contact | AMBER GATES Owner 719-235-2824 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2021-04-20 |
Last Update Date | 2025-07-11 |