Organization
LIFESTREAM TREATMENT CENTER LLC
Active
Other names
LIFESTREAM TREATMENT CENTER LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MISS YVETTE UMUGWANEZA (CEO)
(207) 409-6515
Entity
Organization
Contact information
Practice address
2701 N 16TH ST STE 108, PHOENIX, AZ 85006-1264
(207) 409-6515
(623) 440-7746
Mailing address
2701 N 16TH ST STE 108, PHOENIX, AZ 85006-1264
(207) 409-6515
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/10/2021
Last updated
08/10/2021
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