Organization

Foundations Wellness Center Llc

Substance Abuse Rehabilitation Facility in Port St Lucie, FL(View on Map)

Legal Business Name

Foundations Wellness Center Llc

NPI Number

1194188656

NPI Type

Organization

Enumeration Date

04/01/2016

Specialties

(Taxonomies)

Code

324500000X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

5601

Contact
Information

Purpose

Mailing
Location

Address

160 NW CENTRAL PARK PLZ STE 110
160 NW CENTRAL PARK PLZ STE 110

City

Port St Lucie
Port St Lucie

State

FL
FL

Postal Code

34986-1825
34986-1825

Country

US
US

Telephone Number

(772) 812-6852
(772) 812-6852

Authorized Official

Name

Travis Thames

Title or Position

CEO

Telephone Number

(772) 361-6778

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/21/2022

Provider Address

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