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NPI Provider: 1902802002
Contact Name: Dozier E Carol
Position: CFO
Phone: (352) 315-7532
Lifestream Behavioral Center Information:
Lifestream Behavioral Center organization have npi 1902802002, taxonomy code is 101YA0400X with license number is ME43575 in . This Business address located in PO Box 491000, Leesburg, FL 34749 Florida. Get directions of Lifestream Behavioral Center.
Practice Location
Address: 2020 Talley Rd, Leesburg, FL 34748
Phone: (352) 315-7800
Business Location
Address: PO Box 491000, Leesburg, FL 34749
Phone: (352) 315-7500
Fax: (352) 360-6595
Taxonomy
Taxonomy Code: 101YA0400X
License Number: ME43575
License Number of State: FL
Primary Taxonomy Switch: N
Enumeration Date: 6/23/2005
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