NPI | 1972150159 |
---|---|
Doing Business As | LIVING WATER BEHAVIORAL HEALTH |
Entity Type | Organization |
Authorized Contact | KAMSI NWANKWOR Office Manager 609-228-6258 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2019-08-21 |
Last Update Date | 2025-09-02 |