| NPI | 1407307614 |
|---|---|
| Doing Business As | HEALTHY LIVING COMMUNITY CENTER |
| Entity Type | Organization |
| Authorized Contact | LESLIE MONTGOMERY Owner 347-431-2880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2016-10-24 |