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LIFELINE TREATMENT CENTER NPI 1891243127


NPI Information

NPI: 1891243127
Provider Name: LIFELINE TREATMENT CENTER
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 34D2119096

Address:
5710 OLEANDER DR STE 100
WILMINGTON, NC
ZIP 28403
Phone: (888) 600-5147
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LIFELINE TREATMENT CENTER is a multi-specialty clinic center in Wilmington, NC. LIFELINE TREATMENT CENTER NPI is 1891243127. The provider is registered as an organization entity type.

The provider's business location address is:

5710 OLEANDER DR STE 100
WILMINGTON, NC
ZIP 28403
Phone: (888) 600-5147
Fax: (910) 769-7173

The provider's authorized official is Alex Lind .
The authorized official title is Owner and has the following contact phone number (888) 600-5147.

The CLIA number assigned to this NPI record is 34D2119096 - other - substance abuse treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/15/2016 and was last updated on 7/2/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM1300XClinic/CenterMulti-SpecialtyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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