Organization
LIFELINE TO RECOVERY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA CICETTI PSY.D., LMHC (OWNER)
(561) 734-6118
Entity
Organization
Contact information
Practice address
2290 10TH AVE N STE 201, LAKE WORTH, FL 33461-6609
(561) 223-3140
Mailing address
2290 10TH AVE N STE 201, LAKE WORTH, FL 33461-6609
(561) 223-3140
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
PY7715
FL
Other
Enumeration date
02/03/2014
Last updated
02/03/2014
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