Organization
THE ACADEMY AT AMBROSIA LLC
Active
Organization
THE ACADEMY AT AMBROSIA LLC
Active
Other names
The Academy at Ambrosia LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANESH ALAM MD (CEO)
(630) 390-0042
Entity
Organization
Contact information
Practice address
1091 SW BAYSHORE BLVD, PORT SAINT LUCIE, FL 34983-2463
(772) 323-2099
(561) 578-8601
Mailing address
222 PICADILLY ST, WEST PALM BEACH, FL 33407-6017
(630) 390-0042
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
11/17/2023
Last updated
11/17/2023
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