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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