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Lifeline Treatment Services Inc
Methadone Clinic in Oakland, California
NPI 1689890758

Lifeline Treatment Services Inc is a Methadone Clinic based in Santa Clarita, CA and is specialized in Methadone. Lifeline Treatment Services Inc practices in Oakland, CA. The NPI Number for Lifeline Treatment Services Inc is 1689890758 and holds a License No. 0195 (California).

The current practice location address for Lifeline Treatment Services Inc is 10429 International Blvd, Oakland, CA and can be reached out via phone at 510-777-8448 and via fax at 510-777-8452.

Location: 10429 International Blvd, Oakland, CA, 91350-2991
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689890758
Provider Name
Lifeline Treatment Services Inc
Credential
Provider Entity Type
Organization
Address
10429 International Blvd, Oakland, CA, 91350-2991
Phone Number
510-777-8448
Fax Number
510-777-8452
Provider Enumeration Date
04/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0196 01 CA MEDI-CAL NUMBER
01-99 01 CA STATE NTP LICENSE
institution
Provider Business Practice Location Address Details
Address
10429 International Blvd
City
Oakland
State
California
Zip
94603-3221
Phone Number
510-777-8448
Fax Number
510-777-8452
person
Provider Business Mailing Address Details
Address
10429 International Blvd
City
Oakland
State
California
Zip
94603-3221
Phone Number
510-777-8448
Fax Number
510-777-8452
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
261QM2800X
License No.
0195 (California)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
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