Organization
HEALING EDUCATIONAL ALTERNATIVES FOR DESERVING STUDENTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY WALLER (OPERATIONS MANAGER)
(813) 495-3874
Entity
Organization
Contact information
Practice address
1001 E BAKER ST STE 100, PLANT CITY, FL 33563-3700
(813) 754-5555
(813) 754-5552
Mailing address
1001 E BAKER ST, #100, PLANT CITY, FL 33563-3700
(813) 956-3781
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
FL
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007813200
—
FL
Enumeration date
02/10/2012
Last updated
07/31/2018
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