Organization
LIFE HOUSE RECOVERY HOMES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TARA NICOLE WHITAKER (OFFICE MANAGER)
(510) 999-7901
Entity
Organization
Contact information
Practice address
22280 MAIN ST, HAYWARD, CA 94541-4005
(510) 999-7901
(510) 315-1231
Mailing address
22280 MAIN ST, HAYWARD, CA 94541-4005
(510) 999-7901
(510) 315-1231
Taxonomy
Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
—
—
Other
Enumeration date
03/25/2021
Last updated
03/25/2021
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