| 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 Psychiatric/Mental Health |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2024-04-12 |