Organization · Type 2 NPI

Living Water Prevention Program Facility

Mental Health Clinic/Center (Including Community Mental Health Center) · Sparta, TN

NPI number 1184852048 Active

About NPI 1184852048

Living Water Prevention Program Facility's National Provider Identifier is 1184852048, issued on Jun 30, 2009. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Sparta, TN. The record was last updated on Jun 30, 2009.