Lifeline Residential Treatment Center

NPI #1003283854 in Oroville, California

Provider Information

NPI Number
1003283854
Entity Type
Organization
Organization Name
Lifeline Residential Treatment Center
Primary Specialty
Substance Abuse Rehabilitation Facility
Enumeration Date
Aug 27, 2015
Last Updated
Aug 27, 2015

Practice Location

Address
5075 LINCOLN BLVD
ZIP Code
95966-6927
Phone
(530) 282-4357

Authorized Official

Name
BRAXTON JACKSON, CADCCAS-RAS
Title
EXECUTIVE DIRECTOR
Phone
(530) 282-4357

Specialties & Taxonomy Codes

Specialty
Substance Abuse Rehabilitation Facility

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