AMBROSIA WELLNESS PROGRAM LLC NPI 1114313392

NPI Information

AMBROSIA WELLNESS PROGRAM LLC is an addiction (substance use disorder) counselor in Palm Beach Gardens, FL. AMBROSIA WELLNESS PROGRAM LLC NPI is 1114313392. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5220 HOOD RD
#101
PALM BEACH GARDENS, FL
ZIP 33418-910
Phone: (561) 721-8800

The provider's authorized official is Timothy Loceff .
The authorized official title is Chief Administrative Officer and has the following contact phone number (561) 578-8600.

The CLIA number assigned to this NPI record is 10D2035093 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/14/2015 and was last updated on 4/14/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.