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2151 45th St Ste 203 West Palm Beach FL 33407-2026 | |
| (561) 882-0252 | |
| (561) 881-4359 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2151 45th St, West Palm Beach, Florida |
| Authorized Official Name and Position | Leah Hess (CFO) |
| Authorized Official Contact | 5618633815 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2151 45th St Ste 203 West Palm Beach FL 33407-2026 Ph: (561) 882-0252 | 2151 45th St Ste 203 West Palm Beach FL 33407-2026 Ph: (561) 882-0252 |
| NPI Number | 1700936911 |
|---|---|
| Provider Enumeration Date | 01/11/2007 |
| Last Update Date | 11/08/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700936911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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