| NPI | 1518508100 |
|---|---|
| Former Legal Business Name | WELLNESS CENTER FOR HEALING LLC |
| Entity Type | Organization |
| Authorized Contact | SAMANTHA V HEWITT CEO 561-252-9389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2019-10-04 |