Organization
CATHEDRAL OF LIVING WATERS INCG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISHA MARIA THOMPSON (OWNER/CEO)
(917) 830-5239
Entity
Organization
Contact information
Practice address
254 CLINTON AVE APT 2, JERSEY CITY, NJ 07304-1608
(917) 830-5239
Mailing address
254 CLINTON AVE APT 2, JERSEY CITY, NJ 07304-1608
(917) 830-5239
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
164W00000X
Licensed Practical Nurse
—
—
Other
Enumeration date
12/24/2024
Last updated
12/30/2024
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