Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health (Including Community Mental Health Center) |
261QM0801X | B4[14] | Community Mental Health Center |
| NPI # | 1508890351 |
| LBN Legal business name | TOTAL LIFE CLINICIANS, LLC |
| Authorized official | GREENBRIER ALMOND - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 07/10/2006 |
| Last updated | 08/22/2020 - About 6 years ago |
| Identifiers | n/a |
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