All Stars Aba Llc | |
7750 Okeechobee Blvd Ste 4-418 West Palm Beach FL 33411-2104 | |
(845) 507-2752 | |
Not Available |
Full Name | All Stars Aba Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 7750 Okeechobee Blvd Ste 4-418, West Palm Beach, Florida |
Authorized Official Name and Position | Jacob Mytelka (PARTNER) |
Authorized Official Contact | 5616210070 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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All Stars Aba Llc 3 E Evergreen Rd New City NY 10956-5101 Ph: (845) 634-1463 | All Stars Aba Llc 7750 Okeechobee Blvd Ste 4-418 West Palm Beach FL 33411-2104 Ph: (845) 507-2752 |
NPI Number | 1487323812 |
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Provider Enumeration Date | 09/09/2021 |
Last Update Date | 09/09/2021 |
Certification Date | 09/09/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487323812 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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