Whalio Doctors

NPI 1346015500

The Academy at Ambrosia LLC

Organisation Children's Substance Abuse Rehabilitation Facility Port Saint Lucie, FL

Practice location

Address
1091 SW Bayshore Blvd, Port Saint Lucie, FL 34983-2463
Phone
(772) 323-2099
Fax
(561) 578-8601
Mailing address
222 Picadilly St, West Palm Beach, FL 33407-6017

Authorised official

Name
Danesh Alam
Title
Ceo
Phone
(630) 390-0042

Registered specialties

Children's Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 3245S0500X

Registry record

NPI
1346015500
Entity type
Organization
NPI issued
17 Nov 2023
Record last updated
17 Nov 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.