| The Living Waters Center Inc. | |
|
175 Wolf Hill Rd Melville NY 11747-1340 | |
| (631) 754-3990 | |
| Not Available |
| Full Name | The Living Waters Center Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 175 Wolf Hill Rd, Melville, New York |
| Authorized Official Name and Position | Carol Rubano (PRESIDENT) |
| Authorized Official Contact | 6317543990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Living Waters Center Inc. 56 Butterfield Dr Greenlawn NY 11740-2009 Ph: (631) 754-3990 | The Living Waters Center Inc. 175 Wolf Hill Rd Melville NY 11747-1340 Ph: (631) 754-3990 |
| NPI Number | 1073716916 |
|---|---|
| Provider Enumeration Date | 06/07/2007 |
| Last Update Date | 03/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073716916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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