NPI | 1104715465 |
---|---|
Doing Business As | LONG LIFE HEALTH GROUP INC |
Entity Type | Organization |
Authorized Contact | YANET RODRIGUEZ Owner 720-314-4727 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2025-07-01 |
Last Update Date | 2025-07-23 |