| Waves Of Hope Eating Disorder Care Center Llc | |
|
4300 Marsh Landing Blvd Jacksonville Beach FL 32250-1416 | |
| (732) 887-7136 | |
| Not Available |
| Full Name | Waves Of Hope Eating Disorder Care Center Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 4300 Marsh Landing Blvd, Jacksonville Beach, Florida |
| Authorized Official Name and Position | Eli Fisch (PRINCIPAL) |
| Authorized Official Contact | 7328877136 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Waves Of Hope Eating Disorder Care Center Llc 32 Cross St Ste 203 Lakewood NJ 08701-5572 Ph: (732) 887-7136 | Waves Of Hope Eating Disorder Care Center Llc 4300 Marsh Landing Blvd Jacksonville Beach FL 32250-1416 Ph: (732) 887-7136 |
| NPI Number | 1396506655 |
|---|---|
| Provider Enumeration Date | 01/23/2024 |
| Last Update Date | 01/23/2024 |
| Certification Date | 01/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396506655 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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