Organization
LIFE ENHANCEMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH GOSHAY CATC (CHEIF OPERATING OFFICER)
(951) 505-3552
Entity
Organization
Contact information
Practice address
3595 UNIVERSITY AVE SUITE E, RIVERSIDE, CA 92501
(951) 505-3552
(951) 788-2527
Mailing address
3595 UNIVERSITY AVE SUITE E, RIVERSIDE, CA 92501
(951) 505-3552
(951) 788-2527
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
CA
Other
Enumeration date
01/29/2009
Last updated
01/29/2009
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