Organization
NORTH COUNTY LIFELINE
Active
Parent organization
NORTH COUNTY LIFELINE
Other names
NCL Vista School Based
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTH COUNTY LIFELINE
Authorized official
DEBORAH M SHRIVER MA, LMFT (DIRECTOR OF BEHAVIORAL HEALTH)
(760) 757-0118
Entity
Organization
Contact information
Practice address
200 MICHIGAN AVE, VISTA, CA 92084-5424
(760) 726-4900
(760) 631-0778
Mailing address
200 MICHIGAN AVE, VISTA, CA 92084-5424
(760) 726-4900
(760) 631-0118
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37FX
DMH
CA
Enumeration date
08/22/2008
Last updated
08/22/2008
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