Organization
LIFE CENTER OF AMERICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID HARTFIELD JR. (CEO)
(559) 237-0072
Entity
Organization
Contact information
Practice address
1607 C ST, FRESNO, CA 93706-1929
(559) 237-0072
Mailing address
1570 N WISHON AVE, FRESNO, CA 93728-1831
(559) 237-0072
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
100079AN
CA
Other
Enumeration date
12/30/2008
Last updated
12/30/2008
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