Organization
HEALING EDUCATIONAL ALTERNATIVES FOR DESERVING STUDENTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD A. WALLER JR. M.ED. (CEO)
(813) 754-5555
Entity
Organization
Contact information
Practice address
3049 CLEVELAND AVE STE 290, FORT MYERS, FL 33901-7054
(813) 754-5555
(813) 754-5552
Mailing address
1001 E BAKER ST STE 100, PLANT CITY, FL 33563-3700
(813) 754-5555
(813) 754-5552
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/25/2012
Last updated
07/27/2018
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