Organization
LIFENET SERVICES INC.
Active
Other names
LifeNet Community Behavioral Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BOB ROBERTSON (CFO)
(214) 221-5433
Entity
Organization
Contact information
Practice address
9708 SKILLMAN STREET, DALLAS, TX 75243-5150
(214) 221-5433
(214) 932-1977
Mailing address
9708 SKILLMAN STREET, DALLAS, TX 75243-5150
(214) 221-5433
(214) 932-1977
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1887-A
TX
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
284464901
—
TX
01
—
A099677
NORTHSTAR VENDOR NUMBER
TX
Enumeration date
11/16/2006
Last updated
11/20/2013
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