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2865 Melaleuca Dr West Palm Beach FL 33406-5403 | |
| (561) 841-3500 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2865 Melaleuca Dr, West Palm Beach, Florida |
| Authorized Official Name and Position | Jennifer Crane (BILLING MANAGER) |
| Authorized Official Contact | 5618413500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2001 W Blue Heron Blvd Riviera Beach FL 33404-5003 Ph: (561) 841-3500 | 2865 Melaleuca Dr West Palm Beach FL 33406-5403 Ph: (561) 841-3500 |
| NPI Number | 1043976814 |
|---|---|
| Provider Enumeration Date | 11/16/2021 |
| Last Update Date | 08/22/2022 |
| Certification Date | 08/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043976814 | NPI | - | NPPES |
| 020330902 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Secondary |
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