Academy Whole Health Solutions
Substance Abuse Rehabilitation Facility in Lake Park, FL. Organization (NPI-2).
NPI number1982158929
StatusActive
Last updated in NPPESNov 1, 2016
Details
- NPI
- 1982158929
- Entity type
- Organization (NPI-2)
- Legal business name
- Academy Whole Health Solutions
- Organization subpart
- No
- Enumeration date
- Aug 8, 2016
- Last updated
- Nov 1, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | – | FL | Yes |
Practice location
504 10th StLake Park, FL 33403
Phone 949-887-8987
Mailing address
504 10th StLake Park, FL 33403
Phone 949-887-8987
Authorized official
Jack Newman
Ceo
9498878917
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