Provider Demographics
NPI:1083287080
Name:NORTH COUNTY LIFELINE
Entity Type:Organization
Organization Name:NORTH COUNTY LIFELINE
Other - Org Name:CONNECTIONS COMMUNITY COUNSELING
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF GRANTS & CONTRACTS
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MESCHES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-842-6251
Mailing Address - Street 1:200 MICHIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92084-5424
Mailing Address - Country:US
Mailing Address - Phone:760-726-4900
Mailing Address - Fax:
Practice Address - Street 1:3890 MURPHY CANYON RD STE 250
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-4408
Practice Address - Country:US
Practice Address - Phone:760-726-4900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NORTH COUNTY LIFELINE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-07-19
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health