Lifestream Behavioral Center INC

NPI #1659613776 in Leesburg, Florida

Provider Information

NPI Number
1659613776
Entity Type
Organization
Organization Name
Lifestream Behavioral Center INC
Subpart
Yes (part of a larger organization)
Parent Organization
LIFESTREAM BEHAVIORAL CENTER INC
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Mar 27, 2013
Last Updated
Mar 27, 2013

Practice Location

Address
215 N 3RD ST
State
Florida
ZIP Code
34748-5105
Phone
(352) 315-7900

Authorized Official

Name
MS. CAROL E DOZIER, CFO
Title
CPA
Phone
(352) 315-7532

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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