# HOLISTIC WILL

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

## Provider details

- **NPI number:** 1962865048
- **Authorized official:** KELI KORNMILLER (SENIOR CREDENTIALING SPECIALIST)
- **Authorized official phone:** (561) 672-8345

## Contact information

- **Practice address:** 2500 QUANTUM LAKES DR STE 212, BOYNTON BEACH, FL 33426-8308
- **Practice address phone:** (561) 223-6200
- **Practice address fax:** (561) 223-6250
- **Mailing address:** 2500 QUANTUM LAKES DR STE 212, BOYNTON BEACH, FL 33426-8308
- **Mailing address phone:** (561) 223-6200
- **Mailing address fax:** (561) 223-6250

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0800X | Recovery Care Clinic/Center | — | FL | Yes |

## Other

- **Enumeration date:** 04/05/2016
- **Last updated:** 04/05/2016