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Lifeback Llc
Children's Substance Abuse Rehabilitation Facility in Lawrenceville, New Jersey
NPI 1780015412

Lifeback Llc is a Children's Substance Abuse Rehabilitation Facility based in Doylestown, NJ and is specialized in Substance Abuse Treatment, Children. Lifeback Llc practices in Lawrenceville, NJ. The NPI Number for Lifeback Llc is 1780015412 and holds a License No. (New Jersey).

The current practice location address for Lifeback Llc is 4 Princess Rd, Lawrenceville, NJ and can be reached out via phone at 609-482-3701 and via fax at 215-975-7300.

Location: 4 Princess Rd, Lawrenceville, NJ, 18902-1817
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1780015412
Provider Name
Lifeback Llc
Credential
Provider Entity Type
Organization
Address
4 Princess Rd, Lawrenceville, NJ, 18902-1817
Phone Number
609-482-3701
Fax Number
215-975-7300
Provider Enumeration Date
12/05/2013
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
4 Princess Rd
City
Lawrenceville
State
New Jersey
Zip
08648-2322
Phone Number
609-482-3701
Fax Number
215-975-7300
person
Provider Business Mailing Address Details
Address
4 Princess Rd
City
Lawrenceville
State
New Jersey
Zip
08648-2322
Phone Number
609-482-3701
Fax Number
215-975-7300
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
person
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 6
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
person
Provider's Taxonomy Details 7
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
Substance Abuse Treatment, Children
Taxonomy
3245S0500X
License No.
()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
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