Organization
BOUT ME HEALING
Active
Parent organization
BOUT ME OM ART & HEALING INK INC
Other names
BOUT ME OM ART & HEALING INK INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BOUT ME OM ART & HEALING INK INC
Authorized official
PROF. C GONZALEZ CAC (CEO/OWNER)
(786) 423-5459
Entity
Organization
Contact information
Practice address
3317 NW 10TH TER STE 406, FORT LAUDERDALE, FL 33309-5941
(786) 423-5459
Mailing address
20 TAM O SHANTER LN, BOCA RATON, FL 33431-3903
(786) 423-5459
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0050962014
FL
Other
Enumeration date
08/18/2016
Last updated
08/18/2016
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