Organization
OUTPATIENT HEALTH VILLAGES SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA ACKNER (COO)
(561) 815-2649
Entity
Organization
Contact information
Practice address
837 S MAIN STREET, WILDWOOD, FL 34785
(561) 815-2649
Mailing address
1321 UPLAND DR STE 7672, HOUSTON, TX 77043
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
—
—
Other
Enumeration date
10/25/2024
Last updated
10/25/2024
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