NPI | 1881001857 |
---|---|
Doing Business As | DIVERSIFIED LIFESTYLE SERVICES |
Entity Type | Organization |
Authorized Contact | ANTOINETTE LANCASTER Executive Director 202-239-5563 |
Organization Subpart ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC5764) |
Enumeration Date | 2014-07-22 |
Last Update Date | 2018-12-10 |