Provider Demographics
NPI:1760958714
Name:CENTER FOR BETTER LIVING, INC.
Entity Type:Organization
Organization Name:CENTER FOR BETTER LIVING, INC.
Other - Org Name:CENTER FOR OPTIMAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATIVE ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:CRISTI
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-324-0032
Mailing Address - Street 1:PO BOX 8095
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37414-0095
Mailing Address - Country:US
Mailing Address - Phone:423-541-2073
Mailing Address - Fax:
Practice Address - Street 1:3300 WILCOX BLVD
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37411-1073
Practice Address - Country:US
Practice Address - Phone:423-541-2073
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-17
Last Update Date:2019-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty