| Lifeline Treatment Center, Inc. | |
|
6851 Canby Ave Ste 102 Reseda CA 91335-4307 | |
| (323) 356-4157 | |
| Not Available |
| Full Name | Lifeline Treatment Center, Inc. |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 6851 Canby Ave Ste 102, Reseda, California |
| Authorized Official Name and Position | Marina Ledvina (CEO) |
| Authorized Official Contact | 3233564157 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifeline Treatment Center, Inc. 6851 Canby Ave Ste 102 Reseda CA 91335-4307 Ph: () - | Lifeline Treatment Center, Inc. 6851 Canby Ave Ste 102 Reseda CA 91335-4307 Ph: (323) 356-4157 |
| NPI Number | 1346068616 |
|---|---|
| Provider Enumeration Date | 09/26/2024 |
| Last Update Date | 02/25/2025 |
| Certification Date | 02/25/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346068616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Primary |
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