Organization
LIFEBACK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARINETTA SEROTTE (ADMINSTRATOR/OWNER)
(609) 872-8021
Entity
Organization
Contact information
Practice address
4 PRINCESS RD, BLDG 200 / SUITE 206, LAWRENCEVILLE, NJ 08648-2322
(609) 482-3701
(215) 975-7300
Mailing address
3366 DURHAM RD, DOYLESTOWN, PA 18902-1817
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
12/05/2013
Last updated
05/30/2023
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