Organization
SOHO WELLNESS INITIATIVE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATASHA KHAN (CEO)
(561) 214-7614
Entity
Organization
Contact information
Practice address
4801 S CONGRESS AVE STE 120, PALM SPRINGS, FL 33461-4746
(561) 214-7614
(561) 293-8278
Mailing address
4801 S CONGRESS AVE., STE. 120, LAKE WORTH, FL 33461
(561) 214-7614
(561) 293-8278
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
504735707061
FL
Other
Enumeration date
03/20/2017
Last updated
03/20/2017
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