| Raising Well, Llc | |
|
19044 Se Arnold Dr. Tequesta FL 33469 | |
| (203) 430-0077 | |
| Not Available |
| Full Name | Raising Well, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 19044 Se Arnold Dr., Tequesta, Florida |
| Authorized Official Name and Position | Stanley Paul Hershonik (PRESIDENT) |
| Authorized Official Contact | 2034300077 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Raising Well, Llc 19044 Se Arnold Dr. Tequesta FL 33469 Ph: () - | Raising Well, Llc 19044 Se Arnold Dr. Tequesta FL 33469 Ph: (203) 430-0077 |
| NPI Number | 1184215337 |
|---|---|
| Provider Enumeration Date | 01/31/2021 |
| Last Update Date | 07/26/2023 |
| Certification Date | 07/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184215337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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