Cultivating Life Clinic
NPI #1982415873 in South Bend, Indiana
Provider Information
- NPI Number
- 1982415873
- Entity Type
- Organization
- Organization Name
- Cultivating Life Clinic
- Primary Specialty
- Clinic/Center - Community Health
- Enumeration Date
- Jan 18, 2025
- Last Updated
- Jan 18, 2025
Practice Location
- Address
- 3607 S MAIN ST
- City
- South Bend
- State
- Indiana
- ZIP Code
- 46614-1723
- Phone
- (574) 444-0256
Authorized Official
- Name
- LARISSA CHISM BUGGS, MD
- Title
- MEDICAL DIRECTOR
- Phone
- (574) 444-0256
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
| Clinic/Center - Community Health — Community Health |
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