Lifeskills Development

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

LIFESKILLS DEVELOPMENT

Practice address

6095 Shepherd Dr
San Bernardino, CA 92407-2251

Phone

(917) 981-0503

NPI assigned

Sep 22, 2016

Last updated

Sep 22, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Raymond Arthur Besse, QMHA, M.DIV, PSYD

Title

Deputy Director

Phone

(917) 981-0503

Specialties & licenses 3

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1474502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474502400000",
    "number": "1770032534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6095 SHEPHERD DR",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924072251",
            "telephone_number": "917-981-0503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6095 SHEPHERD DR",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924072251",
            "telephone_number": "917-981-0503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESKILLS DEVELOPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-22",
        "last_updated": "2016-09-22",
        "status": "A",
        "authorized_official_last_name": "BESSE",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "DEPUTY DIRECTOR",
        "authorized_official_telephone_number": "917-981-0503",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "QMHA, M.DIV, PSYD"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Life Alert Homecare Supplies, Inc.
• Life Care Home Health
• Life Cares Hospice
• Life Savers Emergency Medical
• Lifesavers
• Light of Day Transportation
• Lightning Medical Transport
• Brandon Cornel Ligon
• Sanaa Isha Ligons, DO
• Ray Everett Liles, DSW, LCSW

• Substance Abuse Rehabilitation Facility in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.