| Lifeline Central | |
|
4515 S Mcclintock Dr Ste 114 Tempe AZ 85282-7381 | |
| (480) 641-1165 | |
| Not Available |
| Full Name | Lifeline Central |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4515 S Mcclintock Dr Ste 114, Tempe, Arizona |
| Authorized Official Name and Position | John Delorenzo (ADMINISTRATIVE DIRECTOR) |
| Authorized Official Contact | 4806411165 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifeline Central 335 N Alma School Rd Ste E Chandler AZ 85224-4363 Ph: (480) 641-1165 | Lifeline Central 4515 S Mcclintock Dr Ste 114 Tempe AZ 85282-7381 Ph: (480) 641-1165 |
| NPI Number | 1508368986 |
|---|---|
| Provider Enumeration Date | 03/01/2018 |
| Last Update Date | 09/28/2020 |
| Certification Date | 09/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508368986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | OTC8596 (Arizona) | Primary |
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