Organization
TGWC ASSOCIATES LLC
Active
Other names
THE GARDENS WELLNESS CENTER LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JON LASKO (CEO)
(954) 675-0009
Entity
Organization
Contact information
Practice address
16565 NE 4TH AVE, NORTH MIAMI BEACH, FL 33162-3511
(786) 457-7014
Mailing address
16565 NE 4TH AVE, NORTH MIAMI BEACH, FL 33162-3511
(786) 457-7014
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
06/17/2014
Last updated
06/17/2014
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