Organization · NPI-2
Embrace Wellness Center LLC
Clinic/Center, Rehabilitation, Substance Use Disorder · Fort Pierce, FL
NPI number1124851118
StatusActive
Last updated in NPPESAug 23, 2024
Details
- NPI
- 1124851118
- Entity type
- Organization (NPI-2)
- Legal business name
- Embrace Wellness Center LLC
- Organization subpart
- No
- Enumeration date
- Aug 23, 2024
- Certification date
- Aug 23, 2024
- Last updated
- Aug 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | – | – | Yes |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – |
Practice location
985 Seaway DrFort Pierce, FL 34949-2744
Phone 772-577-1697
Mailing address
985 Seaway DrFort Pierce, FL 34949-2744
Phone 772-577-1697
Authorized official
John S. Wilks-Young
Clinical Director/Ceo
7725770405
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