Organization · Type 2 NPI
Lifes Second Chance Treatment Center Lakisha Henderson Nelson Sole MBR
Methadone Clinic · Dallas, TX
NPI number
1821419201
Active
Practice location
2615 S Lancaster Rd
Dallas, TX 75216-3112
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Methadone Clinic Primary | 261QM2800X | 1000045 (TX) |
Methadone Clinic: An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
Another provider at this address
Other methadone clinic providers in Dallas
About NPI 1821419201
Lifes Second Chance Treatment Center Lakisha Henderson Nelson Sole MBR's National Provider Identifier is 1821419201, issued on Jan 2, 2014. The primary taxonomy on file is Methadone Clinic (261QM2800X), and the practice location is in Dallas, TX. The record was last updated on May 29, 2020.