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Organization
LIFE LINE CENTERS OF CALIFORNIA INC
Active
Organization
LIFE LINE CENTERS OF CALIFORNIA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MINDI ANDERSON LICENSED SPECIALIST (CEO)
(209) 367-5433
Entity
Organization
Contact information
Practice address
856 N SACRAMENTO ST STE H, LODI, CA 95240-1251
(209) 367-5433
Mailing address
856 N SACRAMENTO ST STE H, LODI, CA 95240-1251
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/11/2016
Last updated
11/23/2016
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