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Organization

THE WAVE INTERNATIONAL LLC

Active
Other names
Wave International LLC, The
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTOPHER WRIGHT FOX (CEO)
(310) 547-7501
Entity
Organization

Contact information

Practice address
2120 RANGE RD, CLEARWATER, FL 33765-2125
(727) 205-7077
Mailing address
28059 US HIGHWAY 19 N STE 205, CLEARWATER, FL 33761-2620
(727) 205-2077

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
320800000X
Mental Illness Community Based Residential Treatment Facility
323P00000X
Psychiatric Residential Treatment Facility
Primary
324500000X
Substance Abuse Rehabilitation Facility

Other

Enumeration date
10/18/2018
Last updated
10/01/2025
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