| NPI | 1972106656 |
|---|---|
| Doing Business As | LIFESCAPE RECOVERY CENTER |
| Entity Type | Organization |
| Authorized Contact | TAREK YOUSEF CEO 323-443-3225 |
| 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 | 2024-12-24 |