institution
Lifes Second Chance Treatment Center Lakisha Henderson Nelson Sole Mbr
Methadone Clinic in Dallas, Texas
NPI 1821419201

Lifes Second Chance Treatment Center Lakisha Henderson Nelson Sole Mbr is a Methadone Clinic based in Dallas, TX and is specialized in Methadone. Lifes Second Chance Treatment Center Lakisha Henderson Nelson Sole Mbr practices in Dallas, TX. The NPI Number for Lifes Second Chance Treatment Center Lakisha Henderson Nelson Sole Mbr is 1821419201 and holds a License No. 1000045 (Texas).

The current practice location address for Lifes Second Chance Treatment Center Lakisha Henderson Nelson Sole Mbr is 2615 S Lancaster Rd, Dallas, TX and can be reached out via phone at 214-376-7388.

Location: 2615 S Lancaster Rd, Dallas, TX, 75216-3112
institution
Provider Profile Details
NPI Number
1821419201
Provider Name
Lifes Second Chance Treatment Center Lakisha Henderson Nelson Sole Mbr
Credential
Provider Entity Type
Organization
Address
2615 S Lancaster Rd, Dallas, TX, 75216-3112
Phone Number
214-376-7388
Fax Number
Provider Enumeration Date
01/02/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1000045 01 TX PERMIT
institution
Provider Business Practice Location Address Details
Address
2615 S Lancaster Rd
City
State
Zip
75216-3112
Phone Number
214-376-7388
Fax Number
person
Provider Business Mailing Address Details
Address
2615 S Lancaster Rd
City
State
Zip
75216-3112
Phone Number
214-376-7388
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
License No.
1000045 (Texas)
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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