NPI 1003283854
Lifeline Residential Treatment Center
Practice location
- Address
- 5075 Lincoln Blvd, Oroville, CA 95966-6927
- Phone
- (530) 282-4357
- Fax
- (530) 282-4948
Authorised official
- Name
- Braxton Jackson
- Title
- Executive Director
- Phone
- (530) 282-4357
Registered specialties
Substance Abuse Rehabilitation Facility
Primary
Registry record
- NPI
- 1003283854
- Entity type
- Organization
- NPI issued
- 27 Aug 2015
- Record last updated
- 27 Aug 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.