| Life In Transition Llc | |
|
760 Penn St Medford OR 97501-4590 | |
| (541) 591-6076 | |
| Not Available |
| Full Name | Life In Transition Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 760 Penn St, Medford, Oregon |
| Authorized Official Name and Position | Aura Reichert (OWNER) |
| Authorized Official Contact | 5415916076 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life In Transition Llc Po Box 1787 Medford OR 97501-0261 Ph: (541) 500-8655 | Life In Transition Llc 760 Penn St Medford OR 97501-4590 Ph: (541) 591-6076 |
| NPI Number | 1164143640 |
|---|---|
| Provider Enumeration Date | 09/05/2022 |
| Last Update Date | 09/05/2022 |
| Certification Date | 09/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164143640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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