NPI Index

LIFEBACK LLC

Clinic/Center - Rehabilitation, Substance Use Disorder

Active Organization
NPI: 1780015412

Practice Address

4 PRINCESS RD
BLDG 200 / SUITE 206
Lawrenceville, NJ 08648

Phone: (609) 482-3701

Specialties

Specialty Code Primary License
Clinic/Center 261Q00000X No -
Clinic/Center - Mental Health (Including Community Mental Health Center) 261QM0801X No -
Clinic/Center - Adult Mental Health 261QM0850X No -
Clinic/Center - Adolescent and Children Mental Health 261QM0855X No -
Substance Abuse Rehabilitation Facility 324500000X No -
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children 3245S0500X No -
Clinic/Center - Rehabilitation, Substance Use Disorder 261QR0405X Yes -

Frequently Asked Questions

NPI 1780015412 is the National Provider Identifier for LIFEBACK LLC, a Clinic/Center - Rehabilitation, Substance Use Disorder provider located in Lawrenceville, NJ. This NPI was enumerated on December 5, 2013.

Quick Facts

NPI
1780015412
Type
Organization
Enumerated
Dec 5, 2013
Last Updated
May 30, 2023

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