Organization
LIFETENT BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHUKWUEMEKA ASIEGBU (OWNER/PROVIDER)
(508) 635-0144
Entity
Organization
Contact information
Practice address
100 FRONT ST STE 401, WORCESTER, MA 01608-1425
(508) 635-0144
(508) 635-5414
Mailing address
100 FRONT ST STE 401, WORCESTER, MA 01608-1425
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
06/26/2023
Last updated
11/02/2023
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