| Life Force Development Center | |
|
9430 Landis Dr Beaumont TX 77707-1153 | |
| (409) 651-3702 | |
| Not Available |
| Full Name | Life Force Development Center |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 9430 Landis Dr, Beaumont, Texas |
| Authorized Official Name and Position | Kimberly Rochelle Deluna (OWNER) |
| Authorized Official Contact | 4096513702 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Force Development Center 9430 Landis Dr Beaumont TX 77707-1153 Ph: (409) 651-3702 | Life Force Development Center 9430 Landis Dr Beaumont TX 77707-1153 Ph: (409) 651-3702 |
| NPI Number | 1124447503 |
|---|---|
| Provider Enumeration Date | 04/14/2014 |
| Last Update Date | 04/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124447503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 11621 (Texas) | Primary |
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