| Domus Leonum Llc | |
|
1551 Forum Place Building 400 Suite D/e West Palm Beach FL 33401-5505 | |
| (917) 528-0694 | |
| Not Available |
| Full Name | Domus Leonum Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1551 Forum Place, West Palm Beach, Florida |
| Authorized Official Name and Position | Arpana Shivdasani (OWNER) |
| Authorized Official Contact | 9175280694 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Domus Leonum Llc 1551 Forum Place Building 400 Suite D/e West Palm Beach FL 33401-5505 Ph: (917) 528-0694 | Domus Leonum Llc 1551 Forum Place Building 400 Suite D/e West Palm Beach FL 33401-5505 Ph: (917) 528-0694 |
| NPI Number | 1730546862 |
|---|---|
| Provider Enumeration Date | 01/20/2016 |
| Last Update Date | 01/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730546862 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | ME49592 (Florida) | Primary |
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