NPI | 1750142824 |
---|---|
Doing Business As | LIFESPRING INTEGRATED TREATMENT CENTER |
Entity Type | Organization |
Authorized Contact | KRISTIE SWOBODA Practice Management Administrator 812-206-1249 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251S00000X |
Enumeration Date | 2024-01-17 |
Last Update Date | 2024-01-17 |