Organization
EMBRACE WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN S. WILKS-YOUNG LMHC (CLINICAL DIRECTOR/CEO)
(772) 577-0405
Entity
Organization
Contact information
Practice address
985 SEAWAY DR, FORT PIERCE, FL 34949-2744
(772) 577-1697
Mailing address
985 SEAWAY DR, FORT PIERCE, FL 34949-2744
(772) 577-1697
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
08/23/2024
Last updated
08/23/2024
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