Lifes Second Chance Treatment Center Lakisha Henderson Nelson Sole Mbr

NPI #1821419201 in Dallas, Texas

Provider Information

NPI Number: 1821419201
Entity Type: Organization
Organization Name: Lifes Second Chance Treatment Center Lakisha Henderson Nelson Sole Mbr
Primary Specialty: Clinic/Center - Methadone
Enumeration Date: Jan 2, 2014
Last Updated: May 29, 2020

Practice Location

Address: 2615 S LANCASTER RD
City: Dallas
State: Texas
ZIP Code: 75216-3112
Phone: (214) 376-7388

Authorized Official

Name: LAKISHA HENDERSON
Title: OWNER
Phone: (469) 360-6794

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Methadone — Methadone	261QM2800X	Primary

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