Organization
WAVES OF HOPE EATING DISORDER CARE CENTER LLC
Active
Organization
WAVES OF HOPE EATING DISORDER CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELI FISCH (PRINCIPAL)
(732) 887-7136
Entity
Organization
Contact information
Practice address
4300 MARSH LANDING BLVD, JACKSONVILLE BEACH, FL 32250-1416
(732) 887-7136
Mailing address
32 CROSS ST STE 203, LAKEWOOD, NJ 08701-5572
(732) 887-7136
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
01/23/2024
Last updated
01/23/2024
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