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Organization

LIVING & WELLNESS CENTER

Active
Other names
Professional Wellness Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DIMITRIS KOLLAROS (GENERAL PARTNER)
(575) 640-3537
Entity
Organization

Contact information

Practice address
1100 S. MAIN EXECUTIVE SUITES, LAS CRUCES, NM 88005-2917
(575) 525-5635
(575) 647-8804
Mailing address
1100 S. MAIN EXECUTIVE SUITES, LAS CRUCES, NM 88005-2917
(575) 525-5635
(575) 647-8804

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
05/22/2009
Last updated
05/22/2009
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