Organization
FORT HELP, LLC
Active
Other names
Lifeline Treatment Services, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
STAN SHARMA PH.D. (EXECUTIVE DIRECTOR)
(661) 254-6630
Entity
Organization
Contact information
Practice address
9442 INTERNATIONAL BLVD, OAKLAND, CA 94603-1444
(510) 777-8448
(510) 727-9761
Mailing address
26460 SUMMIT CIR, SANTA CLARITA, CA 91350-2991
(661) 254-6630
(661) 254-6644
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
01-95
CA
Other
Enumeration date
04/12/2012
Last updated
04/12/2012
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