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Organization
AMBROSIA WELLNESS PROGRAM LLC
Active
Organization
AMBROSIA WELLNESS PROGRAM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY LOCEFF (CHIEF ADMINISTRATIVE OFFICER)
(561) 578-8600
Entity
Organization
Contact information
Practice address
5220 HOOD RD, #101, PALM BEACH GARDENS, FL 33418-8910
(561) 721-8800
Mailing address
5220 HOOD RD, #101, PALM BEACH GARDENS, FL 33418-8910
(561) 721-8800
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/14/2015
Last updated
04/14/2015
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