| NPI | 1972980514 |
|---|---|
| Doing Business As | LIVING WATER FAMILY SERVICES |
| Entity Type | Organization |
| Authorized Contact | LATONDRA CARLETTE FISHER Director 318-614-7644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2015-05-04 |