Organization
LIFE CENTER OF AMERICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID CHARLES HARTFIELD JR. M.DIV (CEO)
(559) 237-0072
Entity
Organization
Contact information
Practice address
2210 S THORNE AVE, FRESNO, CA 93706-4017
(559) 237-0072
Mailing address
7084 N CEDAR AVE, 300, FRESNO, CA 93720-3300
(559) 237-0072
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
100079AN
CA
Other
Enumeration date
08/18/2008
Last updated
08/18/2008
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