Organization
LIFE COMMUNITY WELLNESS CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAIRA CRESPO (PRESIDENT)
(561) 676-1690
Entity
Organization
Contact information
Practice address
2328 10TH AVE N STE 106, LAKE WORTH, FL 33461-6612
(561) 676-1690
Mailing address
2328 10TH AVE N STE 106, LAKE WORTH, FL 33461-6612
(561) 676-1690
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/26/2021
Last updated
01/26/2021
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