Organization
LIFE CENTER OF AMERICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID CHARLES HARTFIELD JR. M.DIV (DIRECTOR)
(559) 237-0072
Entity
Organization
Contact information
Practice address
930 N VAN NESS AVE, FRESNO, CA 93728-3428
(559) 237-0072
Mailing address
930 N VAN NESS AVE, FRESNO, CA 93728-3428
(559) 237-0072
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
100079AN
CA
Other
Enumeration date
05/11/2007
Last updated
12/28/2007
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