Organization
HEALING EDUCATIONAL ALTERNATIVES FOR DESERVING STUDENTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD WALLER (PRESIDENT)
(239) 352-1712
Entity
Organization
Contact information
Practice address
21441 BOCA RIO RD, BOCA RATON, FL 33433-2604
(239) 352-1712
Mailing address
701 S HOWARD AVE, SUITE 106336, TAMPA, FL 33606-2473
(239) 352-1712
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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