North County Lifeline | |
200 Michigan Ave Vista CA 92084-5424 | |
(760) 726-4900 | |
Not Available |
Full Name | North County Lifeline |
---|---|
Speciality | Community/behavioral Health |
Location | 200 Michigan Ave, Vista, California |
Authorized Official Name and Position | Ashley Moffett (COMPLIANCE OFFICER) |
Authorized Official Contact | 7608426265 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
North County Lifeline 3142 Vista Way Ste 400 Oceanside CA 92056-3629 Ph: (760) 726-4900 | North County Lifeline 200 Michigan Ave Vista CA 92084-5424 Ph: (760) 726-4900 |
NPI Number | 1033878830 |
---|---|
Provider Enumeration Date | 12/09/2021 |
Last Update Date | 12/09/2021 |
Certification Date | 12/01/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033878830 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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