| NPI | 1609124692 |
|---|---|
| Doing Business As | LIVING WATER COMMUNITY HEALTH & WELLNESS CLINIC |
| Entity Type | Organization |
| Authorized Contact | BRANDY LEYVA Clinic Manager 559-719-8108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2012-08-22 |
| Last Update Date | 2024-08-08 |