Aba Treehouse
Clinic/Center in Daytona Beach, FL. Organization (NPI-2).
NPI number1679426928
StatusActive
Last updated in NPPESFeb 17, 2026
Details
- NPI
- 1679426928
- Entity type
- Organization (NPI-2)
- Legal business name
- Aba Treehouse
- Organization subpart
- No
- Enumeration date
- Feb 17, 2026
- Certification date
- Feb 17, 2026
- Last updated
- Feb 17, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
1616 Concierge Blvd Fl 1Daytona Beach, FL 32117-7158
Phone 386-383-4562 · Fax 386-401-2385
Mailing address
1616 Concierge Blvd Fl 1Daytona Beach, FL 32117-7158
Phone 386-383-4562 · Fax 386-401-2385
Authorized official
Willie Wallace
Owner
3863834562
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