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Organization

LIFELINE COMMUNITY BEHAVIORAL HEALTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DEREK BROWN (OWNER)
(276) 806-8982
Entity
Organization

Contact information

Practice address
57 DUPONT RD, MARTINSVILLE, VA 24112-4618
(276) 806-8982
Mailing address
406 HARRIS DR, MARTINSVILLE, VA 24112-1712
(276) 806-8982

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
01/13/2025
Last updated
01/13/2025
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