| NPI | 1073800702 |
|---|---|
| Doing Business As | LIVINGWELL |
| Entity Type | Organization |
| Authorized Contact | DANIEL MINTIE Owner 505-792-4519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NM I-06493) |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2011-07-01 |