Organization
THE LIVING WATERS CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL RUBANO LCSW (PRESIDENT)
(631) 754-3990
Entity
Organization
Contact information
Practice address
175 WOLF HILL RD, MELVILLE, NY 11747-1340
(631) 754-3990
Mailing address
56 BUTTERFIELD DR, GREENLAWN, NY 11740-2009
(631) 754-3990
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/07/2007
Last updated
03/29/2013
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