NPI | 1972106656 |
---|---|
Doing Business As | LIFESCAPE RECOVERY CENTER |
Entity Type | Organization |
Authorized Contact | TAREK YOUSEF CEO 562-760-4418 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2020-11-17 |
Last Update Date | 2024-10-24 |