Organization
LIFELINE HARBOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNIE DORIS CARTER LPC (EXECUTIVE DIRECTOR)
(334) 523-1675
Entity
Organization
Contact information
Practice address
2921 MARTI LN, SUITE 8-A, MONTGOMERY, AL 36116-3120
(334) 523-1675
Mailing address
2921 MARTI LN, SUITE 8-A, MONTGOMERY, AL 36116-3120
(334) 523-1675
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/19/2016
Last updated
01/04/2017
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