Organization
LIVING TREE COMMUNITY CARE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YASMINE DOMINIQUE-MERVEUS (MANAGER)
(561) 236-7799
Entity
Organization
Contact information
Practice address
500 S AUSTRALIAN AVE STE 600, WEST PALM BEACH, FL 33401-6237
(561) 236-7799
Mailing address
500 S AUSTRALIAN AVE STE 600, WEST PALM BEACH, FL 33401-6237
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/11/2015
Last updated
06/11/2015
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