Archaic Lifestyle, Inc.

LBN: Archaic Lifestyle, Inc.
Archaic Lifestyle, Inc. is an health care organization with primary practice located at 41768 W Barcelona Dr , Maricopa AZ 85138-4445. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Archaic Lifestyle, Inc. can be contacted via phone (562) 506-3974, or through Session, Latriece via phone (562) 506-3974.

Contact Information

Primary practice address
41768 W Barcelona Dr Maricopa AZ 85138-4445
Phone: (562) 506-3974
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Session, Latriece
Phone: (562) 506-3974

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1376230896
LBN Legal business name Archaic Lifestyle, Inc.
DBA Doing business as
Authorized official Session, Latriece
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2023
Last updated Aug 26th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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