Organization
LIFESTREAM HOPE & WELLNESS CENTER, INC.
Active
Organization
LIFESTREAM HOPE & WELLNESS CENTER, INC.
Active
Parent organization
GS HEALTHCARE MANAGEMENT, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GS HEALTHCARE MANAGEMENT, LLC
Authorized official
MR. ETHAN W GRANT BSN, RN, PHN (PRESIDENT)
(714) 555-1212
Entity
Organization
Contact information
Practice address
2030 EAST 4TH STREET, SUITE 115D, SANTA ANA, CA 92705
(714) 541-1100
Mailing address
2030 EAST 4TH STREET, SUITE 115D, SANTA ANA, CA 92705
(714) 541-1100
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/14/2013
Last updated
04/04/2016
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