NPI | 1902647928 |
---|---|
Doing Business As | LIVEOAK MENTAL HEALTH THERAPY CENTER |
Entity Type | Organization |
Authorized Contact | JOANNE TROUT Vice President 954-325-6750 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2024-06-04 |
Last Update Date | 2025-03-26 |