| NPI | 1952103301 |
|---|---|
| Doing Business As | LIVING WELL SPECIALTY CLINIC |
| Entity Type | Organization |
| Authorized Contact | SUSIE ANN BEAL CFO 334-420-5029 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2025-03-26 |
| Last Update Date | 2025-03-26 |