| 1 Salon Life Development Academy Inc. | |
|
2800 W Oakland Park Blvd Ste 309 Oakland Park FL 33311-1309 | |
| (754) 422-5571 | |
| Not Available |
| Full Name | 1 Salon Life Development Academy Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2800 W Oakland Park Blvd Ste 309, Oakland Park, Florida |
| Authorized Official Name and Position | Cecilia Williams (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7544225571 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 1 Salon Life Development Academy Inc. 2800 W Oakland Park Blvd Ste 309 Oakland Park FL 33311-1309 Ph: (754) 422-5571 | 1 Salon Life Development Academy Inc. 2800 W Oakland Park Blvd Ste 309 Oakland Park FL 33311-1309 Ph: (754) 422-5571 |
| NPI Number | 1336804988 |
|---|---|
| Provider Enumeration Date | 11/08/2021 |
| Last Update Date | 11/09/2021 |
| Certification Date | 11/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336804988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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