Organization
LIFE CENTER OF AMERICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID HARTFIELD JR. M.DIV (CEO)
(559) 237-0072
Entity
Organization
Contact information
Practice address
1057 N ST, MERCED, CA 95341-5962
(209) 384-9547
Mailing address
1570 N WISHON AVE, FRESNO, CA 93728-1831
(559) 237-0072
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
100079AN
CA
Other
Enumeration date
01/07/2009
Last updated
01/07/2009
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