Organization
LIVINGSTON COMMUNITY HEALTH
Active
Parent organization
LIVINGSTON COMMUNITY HEALTH
Other names
Wolves Wellness Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIVINGSTON COMMUNITY HEALTH
Authorized official
LESLIE T MCGOWAN MPH (C. E. O.)
(209) 394-7913
Entity
Organization
Contact information
Practice address
1617 MAIN ST, LIVINGSTON, CA 95334-1250
(209) 394-7913
(209) 394-3660
Mailing address
1140 MAIN ST, LIVINGSTON, CA 95334-1257
(209) 394-7913
(209) 394-9093
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
02/02/2016
Last updated
02/02/2016
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