| NPI | 1265034227 |
|---|---|
| Doing Business As | LIVE LOVE LIFE, JACKSONVILLE |
| Entity Type | Organization |
| Authorized Contact | MARK A. WALCZYK Chief Operating Officer 585-233-0105 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251V00000X Voluntary or Charitable | |
| 261QP0905X Clinic/Center, Public Health, State or Local | |
| Enumeration Date | 2020-11-13 |
| Last Update Date | 2024-04-25 |