Living Waters Coordinated Communities, Inc.
NPI #1215153432 in Coeur D Alene, Idaho
Provider Information
- NPI Number
- 1215153432
- Entity Type
- Organization
- Organization Name
- Living Waters Coordinated Communities, Inc.
- Primary Specialty
- Clinic/Center - Pain
- Enumeration Date
- Apr 17, 2007
- Last Updated
- Sep 28, 2007
Practice Location
- Address
- 2108 N IRONWOOD CENTER DR
- City
- Coeur D Alene
- State
- Idaho
- ZIP Code
- 83814
- Phone
- (208) 676-0926
Authorized Official
- Name
- DR. LAVERL H WILHELM, PHD
- Title
- PRESIDENT, PSYCHOLOGIST
- Phone
- (208) 676-0926
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Pain — Pain |
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