| NPI | 1649814112 |
|---|---|
| Doing Business As | LIVE WELL COMMUNITY HEALTH CENTER ODESSA |
| Entity Type | Organization |
| Authorized Contact | TONIANN RICHARD CEO 660-259-2440 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2020-03-24 |