Organization
SOHO WELLNESS INITIATIVE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD M. ROSS (OWNER)
(212) 696-0101
Entity
Organization
Contact information
Practice address
4801 S CONGRESS AVE, SUITE 120, LAKE WORTH, FL 33461-4746
(754) 779-1830
Mailing address
4801 S CONGRESS AVE, SUITE 120, LAKE WORTH, FL 33461-4746
(754) 779-1830
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
FL
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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