| Healthy Living Community Center | |
|
1466 Beach Ave Apt 12a Bronx NY 10460-3622 | |
| (347) 431-2880 | |
| (347) 281-7740 |
| Full Name | Healthy Living Community Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1466 Beach Ave Apt 12a, Bronx, New York |
| Authorized Official Name and Position | Leslie Montgomery (OWNER) |
| Authorized Official Contact | 3474312880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Living Community Center 1466 Beach Ave Apt 12a Bronx NY 10460-3622 Ph: (347) 431-2880 | Healthy Living Community Center 1466 Beach Ave Apt 12a Bronx NY 10460-3622 Ph: (347) 431-2880 |
| NPI Number | 1407307614 |
|---|---|
| Provider Enumeration Date | 10/24/2016 |
| Last Update Date | 10/24/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407307614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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