NPIMap

Organization Active NPI

Holistic Will LLC

  • Substance Abuse Rehabilitation Facility
  • Boynton Beach, FL
National Provider Identifier
1891150017
Registry record updated Apr 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
HOLISTIC WILL LLC
Practice address
2500 Quantum Lakes Dr
Suite 212
Boynton Beach, FL 33426-8324
Phone
(561) 223-6200
Fax
(561) 223-6250
NPI assigned
Dec 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Fathy Darwesh
Title
President
Phone
(561) 223-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

2500 Quantum Lakes Dr
Suite 212
Boynton Beach, FL 33426-8324

Mailing address

2500 Quantum Lakes Dr
Suite 212
Boynton Beach, FL 33426-8324
Phone (561) 223-6200

National Provider Directory

National Provider Directory
Tax ID family
Holistic Will2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1450137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460937600000",
    "number": "1891150017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 QUANTUM LAKES DR",
            "address_2": "SUITE 212",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268324",
            "telephone_number": "561-223-6200",
            "fax_number": "561-223-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 QUANTUM LAKES DR",
            "address_2": "SUITE 212",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268324",
            "telephone_number": "561-223-6200",
            "fax_number": "561-223-6250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC WILL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-15",
        "last_updated": "2016-04-18",
        "status": "A",
        "authorized_official_last_name": "DARWESH",
        "authorized_official_first_name": "FATHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-223-6200"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.