| Life Line Centers Of California Inc | |
|
856 N Sacramento St Ste H Lodi CA 95240-1251 | |
| (209) 367-5433 | |
| Not Available |
| Full Name | Life Line Centers Of California Inc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 856 N Sacramento St Ste H, Lodi, California |
| Authorized Official Name and Position | Mindi Anderson (CEO) |
| Authorized Official Contact | 2093675433 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Line Centers Of California Inc 856 N Sacramento St Ste H Lodi CA 95240-1251 Ph: () - | Life Line Centers Of California Inc 856 N Sacramento St Ste H Lodi CA 95240-1251 Ph: (209) 367-5433 |
| NPI Number | 1154871416 |
|---|---|
| Provider Enumeration Date | 10/11/2016 |
| Last Update Date | 11/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154871416 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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