Organization
FOUNDATIONS WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS THAMES (CEO)
(772) 361-6778
Entity
Organization
Contact information
Practice address
160 NW CENTRAL PARK PLZ STE 110, PORT ST LUCIE, FL 34986-1825
(772) 812-6852
Mailing address
160 NW CENTRAL PARK PLZ STE 110, PORT ST LUCIE, FL 34986-1825
(772) 812-6852
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
5601
FL
Other
Enumeration date
04/01/2016
Last updated
07/21/2022
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