Organization
LIFETIME FAMILY SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATASHA LEWIS (CEO)
(856) 208-7596
Entity
Organization
Contact information
Practice address
1 EXECUTIVE DR, SUITE 100, MARLTON, NJ 08053
(856) 208-7596
Mailing address
1 EXECUTIVE DR, SUITE 100, MARLTON, NJ 08053
(856) 208-7596
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/02/2026
Last updated
04/02/2026
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