| Back 2 Basics, Behavioral Health Center, Inc. | |
|
845 W Jasmine Dr Lake Park FL 33403-2105 | |
| (561) 876-5100 | |
| Not Available |
| Full Name | Back 2 Basics, Behavioral Health Center, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 845 W Jasmine Dr, Lake Park, Florida |
| Authorized Official Name and Position | Sigrid Allen (PRESIDENT) |
| Authorized Official Contact | 5618765100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Back 2 Basics, Behavioral Health Center, Inc. 845 W Jasmine Dr Lake Park FL 33403-2105 Ph: (561) 876-5100 | Back 2 Basics, Behavioral Health Center, Inc. 845 W Jasmine Dr Lake Park FL 33403-2105 Ph: (561) 876-5100 |
| NPI Number | 1053738658 |
|---|---|
| Provider Enumeration Date | 03/21/2014 |
| Last Update Date | 03/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053738658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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