# INSPIRATIONS YOUTH ACADEMY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821595281
- **Authorized official:** CHRIS WALSH LPN (OWNER/PRESIDENT)
- **Authorized official phone:** (954) 376-4783

## Contact information

- **Practice address:** 757 SOUTH EAST 17TH STREET, FORT LAUDERDALE, FL 33316-2960
- **Practice address phone:** (800) 868-8772
- **Mailing address:** 757 SOUTH EAST 17TH STREET, FORT LAUDERDALE, FL 33316-2960

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/11/2018
- **Last updated:** 04/11/2018