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Organization

LIVING WELL MANAGEMENT, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOEL QUINTERO (CEO)
(954) 909-0407
Entity
Organization

Contact information

Practice address
3601 W COMMERCIAL BLVD, FORT LAUDERDALE, FL 33309-3300
(954) 560-5238
Mailing address
3601 W COMMERCIAL BLVD STE 21, FORT LAUDERDALE, FL 33309-3320
(954) 909-0407

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
261QM0850X
Adult Mental Health Clinic/Center

Other

Enumeration date
02/19/2019
Last updated
12/23/2019
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