Organization
INTREPID HOLISTIC HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NASH PAKEL (CEO)
(561) 782-6663
Entity
Organization
Contact information
Practice address
318 S DIXIE HWY STE 4, LAKE WORTH, FL 33460-4452
(561) 782-6663
Mailing address
1926 10TH AVE N STE 420, LAKE WORTH BEACH, FL 33461-3369
(516) 512-2481
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/05/2022
Last updated
05/02/2023
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